鼻内皮质类固醇与中心性浆液性脉络膜视网膜病变：病例报告及文献综述
Intranasal Corticosteroids and Central Serous Chorioretinopathy: A Report and Review of the Literature.
作者信息
Nakatsuka Austin S, Khanamiri Hossein Nazari, Lam Quy N, El-Annan Jaafar
机构信息
Department of Ophthalmology and Visual Sciences, University of Texas Medical Branch, Galveston, TX.
出版信息
Hawaii J Med Public Health. 2019 May;78(5):151-154.
Abstract
A 43-year-old male with a history of allergic rhinitis on chronic intranasal corticosteroids presented with complaints of a "black band" in his right eye visual field. On examination, he had subretinal fluid and lab tests and imaging studies including optical coherence tomography (OCT) and fluorescein angiography (FA) did not show any evidence of inflammatory, degenerative, or malignant process. He was diagnosed with central serous chorioretinopathy (CSCR). Symptoms improved and the subretinal fluid resolved after the discontinuation of intranasal corticosteroid medication. Intranasal corticosteroids are rarely associated with CSCR. Patients and providers should be aware of the potential risk of vision loss caused by intranasal corticosteroids.
摘要
一名43岁男性，有过敏性鼻炎病史，长期使用鼻内皮质类固醇，因右眼视野出现“黑带”前来就诊。检查发现他有视网膜下液，实验室检查以及包括光学相干断层扫描（OCT）和荧光素血管造影（FA）在内的影像学检查均未显示任何炎症、退行性或恶性病变的迹象。他被诊断为中心性浆液性脉络膜视网膜病变（CSCR）。停用鼻内皮质类固醇药物后，症状改善，视网膜下液消退。鼻内皮质类固醇很少与CSCR相关。患者和医疗服务提供者应意识到鼻内皮质类固醇导致视力丧失的潜在风险。
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