Chapelle J F, Chapelle A C, Georges A, Blaise P, Rakic J M
Service d'Ophtalmologie, CHU Liège, Belgique.
Rev Med Liege. 2019 Sep;74(9):451-456.
We present the case of two patients in whom unilateral retinal involvement with pigmentary lesions on the fundus examination was observed. Apart from the unilateral nature of the lesions, a diagnosis of retinitis pigmentosa could have been made in view of the morphological and functional aspects of the retina. However, in these two clinical cases, an association between retinal lesions and Bartonella in one case, and pre-existing multiple sclerosis in the other case, has been proposed with a final diagnosis of unilateral pigmentary retinopathy. Nevertheless, a sufficiently long period of patient follow-up is necessary to rule out delayed onset in the unaffected eye, suggesting an asymmetrical bilateral retinitis pigmentosa.
我们报告了两例患者，眼底检查发现单侧视网膜有色素沉着病变。除了病变的单侧性外，鉴于视网膜的形态和功能方面，本可做出色素性视网膜炎的诊断。然而，在这两例临床病例中，一例提出视网膜病变与巴尔通体有关，另一例与既往存在的多发性硬化有关，最终诊断为单侧色素性视网膜病变。尽管如此，仍需要对患者进行足够长时间的随访，以排除未受影响眼的延迟发病，提示为不对称性双侧色素性视网膜炎。
