强直性脊柱炎患者的视网膜血管炎：一种罕见的关联。
Retinal Vasculitis in a Patient with Ankylosing Spondylitis: A rare Association.
作者信息
Majumder Anindya Kishore, Roy Rupak, Sitaula Ranju Kharel, Magesan Kowsigan, Majumder Parthopratim Dutta
机构信息
Aditya Birla Sankara Nethralaya, Mukundapur, Kolkata, West Bengal.
出版信息
Nepal J Ophthalmol. 2018 Jan;10(19):86-89. doi: 10.3126/nepjoph.v10i1.21719.
PURPOSE
To report a case of retinal vasculitis in a patient with ankylosing spondylitis.
BACKGROUND
Posterior segment involvement in HLA B-27-associated uveitis is uncommon but we report a case wherein retinal vasculitis was associated with HLA-B 27 uveitis.
CASE
A 36-year-old male, a diagnosed case of ankylosing spondylitis, presented to us with severe anterior segment inflammation associated vitritis in both the eyes. He received topical, oral steroid and immunosuppressive and 3½-month after the control of his uveitis, he underwent cataract surgery in his left eye. Fundus evaluation following cataract surgery revealed sclerosed retinal vessels and wide-field fundus fluorescein angiography confirmed retinal vascular involvement in both the eyes.
CONCLUSION
Retinal vasculitis, though rare can occur in patients with ankylosing spondylitis especially in conditions which present with panuveitis-like picture.
目的
报告1例强直性脊柱炎患者并发视网膜血管炎的病例。
背景
HLA B-27相关葡萄膜炎累及眼后段的情况并不常见，但我们报告了1例视网膜血管炎与HLA-B 27葡萄膜炎相关的病例。
病例
一名36岁男性，确诊为强直性脊柱炎，双眼出现严重的前段炎症伴玻璃体炎。他接受了局部、口服类固醇和免疫抑制治疗，葡萄膜炎得到控制3个半月后，他接受了左眼白内障手术。白内障手术后的眼底评估显示视网膜血管硬化，广域眼底荧光血管造影证实双眼视网膜血管受累。
结论
视网膜血管炎虽然罕见，但可发生于强直性脊柱炎患者，尤其是出现全葡萄膜炎样表现的情况下。
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