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黄斑视网膜前膜所致伊尔斯病的诊断

Diagnosis of Eales disease from a macular epiretinal membrane.

作者信息

Sánchez-Vicente J L, Moruno-Rodríguez A, de Las Morenas-Iglesias J, Muñoz-Morales A, Rueda-Rueda T, López-Herrero F

机构信息

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

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

出版信息

Arch Soc Esp Oftalmol (Engl Ed). 2019 Nov;94(11):556-560. doi: 10.1016/j.oftal.2019.06.004. Epub 2019 Jul 19.

Abstract

Macular involvement is a common finding in patients with Eales disease. The purpose of this communication is to describe the diagnosis of Eales disease from the finding of a macular epiretinal membrane in a young patient. The case is presented of a 38-year-old man referred to this medical service unit with blurred vision developed over the past 3 months, and was associated with vitreoretinal traction and a macular epiretinal membrane. After an ophthalmological examination including the retinal periphery, optical coherence tomography, tuberculin test, interferon gamma release assay (IGRA), and a systemic study, the patient was diagnosed with Eales disease. Macular oedema or epiretinal membranes due to Eales disease are relatively common. Sd-OCT is recommended in all patients with Eales disease. On the other hand, the presence of epiretinal membranes in young patients usually suggests a non-idiopathic aetiology.

摘要

黄斑受累是伊尔斯病患者的常见表现。本文旨在通过一名年轻患者黄斑视网膜前膜的发现来描述伊尔斯病的诊断。病例为一名38岁男性,因过去3个月出现视力模糊前来本医疗服务单位就诊,伴有玻璃体视网膜牵拉和黄斑视网膜前膜。经过包括视网膜周边检查、光学相干断层扫描、结核菌素试验、干扰素γ释放试验(IGRA)以及全身检查在内的眼科检查后,该患者被诊断为伊尔斯病。伊尔斯病引起的黄斑水肿或视网膜前膜相对常见。建议对所有伊尔斯病患者进行扫描深度光学相干断层扫描(Sd - OCT)检查。另一方面,年轻患者中出现视网膜前膜通常提示非特发性病因。

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