Majumder Anindya Kishore, Roy Rupak, Sitaula Ranju Kharel, Magesan Kowsigan, Majumder Parthopratim Dutta
Aditya Birla Sankara Nethralaya, Mukundapur, Kolkata, West Bengal.
Nepal J Ophthalmol. 2018 Jan;10(19):86-89. doi: 10.3126/nepjoph.v10i1.21719.
To report a case of retinal vasculitis in a patient with ankylosing spondylitis.
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.
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.
Retinal vasculitis, though rare can occur in patients with ankylosing spondylitis especially in conditions which present with panuveitis-like picture.
报告1例强直性脊柱炎患者并发视网膜血管炎的病例。
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。
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。
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。
