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双侧急性虹膜色素脱失和双侧急性虹膜透照综合征。

Bilateral acute iris depigmentation and bilateral acute iris transillumination syndrome.

作者信息

Rueda-Rueda T, Sánchez-Vicente L J, Moruno-Rodríguez A, Monge-Esquivel J, Muñoz-Morales A, López-Herrero F

机构信息

Servicio de Oftalmología, Sección de Uveítis, Hospital Universitario Virgen del Rocío, Sevilla, España.

Servicio de Oftalmología, Sección de Retina Quirúrgica, Hospital Universitario Virgen del Rocío, Sevilla, España.

出版信息

Arch Soc Esp Oftalmol (Engl Ed). 2019 Jul;94(7):355-358. doi: 10.1016/j.oftal.2018.11.002. Epub 2019 Mar 13.

DOI:10.1016/j.oftal.2018.11.002
PMID:30876733
Abstract

The case is presented of a 32 year-old male who arrived with acute bilateral symptoms with blurred vision, red eye, severe photophobia and severe ocular pain after suffering from a flu-like syndrome. The patient presented with a clinical picture of bilateral involvement characterised by pupils in mid-mydriasis, scarcely reactive to light, iris transillumination, diffuse depigmentation of the iridian stroma, pigment dispersion in the anterior chamber, and ocular hypertension. After the eye examination an inflammatory syndrome and pigmentary glaucoma were ruled out. The patient showed depigmentation characteristics as well as bilateral iris transillumination. Both conditions could form part of the spectrum of the same disease.

摘要

本文介绍了一名32岁男性患者的病例,该患者在出现类似流感的综合征后,出现急性双侧症状,伴有视力模糊、眼红、严重畏光和眼痛。患者表现为双侧受累的临床症状,其特征为瞳孔中度散大,对光反应微弱,虹膜透照,虹膜基质弥漫性色素脱失,前房色素播散,以及眼压升高。眼部检查排除了炎症综合征和色素性青光眼。该患者表现出色素脱失特征以及双侧虹膜透照。这两种情况可能是同一种疾病谱系的一部分。

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Unilateral acute iris transillumination syndrome with glaucoma and iris pigment epithelium dispersion simulating iris melanoma.伴有青光眼及虹膜色素上皮播散的单侧急性虹膜透照综合征,酷似虹膜黑色素瘤。
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