Rodríguez-González F, Reyes-Rodríguez M, Francisco-Hernández F, García-García Ú, Martínez-Quintana E
Servicio de Oftalmología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Las Palmas, España.
Servicio de Oftalmología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Las Palmas, España.
Arch Soc Esp Oftalmol (Engl Ed). 2019 Jun;94(6):300-303. doi: 10.1016/j.oftal.2018.12.007. Epub 2019 Feb 4.
A 35 year-old-man diagnosed with polyarteritis nodosa developed papillophlebitis on his left eye. Throughout the evolution of the disease, he had a macular oedema treated with intravitreal injections of aflibercept, with adequate recovery of visual acuity. He also had episcleritis on the other eye. Papillophlebitis is a non-ischaemic central retinal vein occlusion of inflammatory cause. Polyarteritis nodosa is a systemic necrotising vasculitis characterised by lesions of small and medium sized arteries. Ocular involvement occurs in 10-20% of patients, and typically affects the choroidal arteries. Only arteries are usually affected, but in very rare cases adjacent veins may be involved due to the adjacent inflammation.
一名35岁被诊断为结节性多动脉炎的男性左眼出现了视乳头静脉炎。在疾病发展过程中，他出现了黄斑水肿，通过玻璃体内注射阿柏西普进行治疗，视力得到了充分恢复。他的另一只眼睛还患有巩膜外层炎。视乳头静脉炎是一种由炎症引起的非缺血性视网膜中央静脉阻塞。结节性多动脉炎是一种系统性坏死性血管炎，其特征为中小动脉病变。10%至20%的患者会出现眼部受累，通常影响脉络膜动脉。通常只有动脉会受到影响，但在极少数情况下，由于相邻炎症，相邻静脉可能会受累。
