Dalvin Lauren A, Maxfield Steven D, Salomão Diva R, Pulido Jose S
Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):e128-e132. doi: 10.3928/23258160-20190401-18.
A 71-year-old white male presented with unilateral trace vitreous cell and hypopigmented choroidal lesions, corresponding to hyporeflective areas on optical coherence tomography (OCT). The lesions grew slowly during a period of 2.5 years, but the patient remained asymptomatic. Cutaneous biopsy from the left forearm confirmed granuloma annulare. Given an otherwise unrevealing workup for infectious, inflammatory, and neoplastic processes, the choroidal lesions were considered to be a manifestation of the same disease process. Treatment consisted of posterior sub-Tenon's triamcinolone. After 6 weeks, the lesions appeared atrophic on funduscopy with resolution on OCT. Examination remained stable with no growth or recurrence after 4 months. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e128-e132.].
一名71岁的白人男性出现单侧微量玻璃体细胞和色素脱失性脉络膜病变，光学相干断层扫描（OCT）显示为低反射区。病变在2.5年的时间里缓慢生长，但患者一直无症状。左前臂皮肤活检确诊为环状肉芽肿。鉴于针对感染、炎症和肿瘤性病变的其他检查均无异常，脉络膜病变被认为是同一疾病过程的表现。治疗方法为后Tenon囊下注射曲安奈德。6周后，眼底检查显示病变萎缩，OCT显示病变消退。4个月后检查结果保持稳定，无病变生长或复发。[《眼科手术、激光与视网膜成像》。2019年；50:e128 - e132。]
