Burke Tomas R, Lightman Susan L
Moorfields Eye Hospital, London, UK.
University College London Institute of Ophthalmology, London, UK.
Case Rep Ophthalmol Med. 2019 Jan 17;2019:6147063. doi: 10.1155/2019/6147063. eCollection 2019.
A 58-year-old Afro-Caribbean gentleman with a diagnosis of quiescent systemic lupus erythematosus- (SLE-) related occlusive retinal vasculitis was previously treated with sector pan-retinal photocoagulation in his right eye to control temporal retinal neovascularization. At routine review he was found to have a focal area of subretinal fluid in the temporal macula sparing an ischaemic fovea. Fundus fluorescein angiography and indocyanine green angiography confirmed a branching vascular network (BVN) and terminal polys (i.e., polypoidal choroidal vasculopathy (PCV)). Interestingly, the BVN arose within an old laser scar. To our knowledge this is the first report of PCV in uveitis in an Afro-Caribbean patient and of the lesions arising within a laser scar.
一名58岁的非洲加勒比裔男性，被诊断为与静止性系统性红斑狼疮（SLE）相关的闭塞性视网膜血管炎，此前右眼接受了局部全视网膜光凝治疗，以控制颞侧视网膜新生血管形成。在常规复查时，发现其颞侧黄斑有局灶性视网膜下液，缺血性黄斑中心凹未受累。眼底荧光血管造影和吲哚菁绿血管造影证实有一个分支血管网（BVN）和末端息肉（即息肉样脉络膜血管病变（PCV））。有趣的是，BVN出现在一个陈旧的激光瘢痕内。据我们所知，这是非洲加勒比裔患者葡萄膜炎中PCV的首例报告，也是病变出现在激光瘢痕内的首例报告。
