Shields Ryan A, Schachar Ira H
Ophthalmic Surg Lasers Imaging Retina. 2019 Oct 1;50(10):660. doi: 10.3928/23258160-20191009-11.
The patient is a 19-year-old female who presented with 3 weeks of right eye pain, eyelid swelling, blurry vision, and headache. Visual acuity was counting fingers at 1 foot. Intraocular pressure was normal, and there was diffuse scleral injection on anterior examination. She had a mild anterior chamber reaction with 15 cells/high-powered field and a mild vitreous inflammatory reaction. Fundus examination revealed diffuse choroidal thickening with multilobulated serous retinal detachments worse inferiorly (Figures 1 and 2). Fluorescein angiography demonstrated severe optic disc leakage. Ultrasonography demonstrated diffuse choroidal thickening, a serous retinal detachment, and a prominent "T-sign" (Figure 3). The patient was diagnosed with posterior scleritis and treated with 80 mg of oral prednisone. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:660.].
该患者为一名19岁女性，出现右眼疼痛、眼睑肿胀、视力模糊和头痛3周。视力为在1英尺处数指。眼压正常，前部检查可见巩膜弥漫性充血。她有轻度前房反应，每高倍视野有15个细胞，并有轻度玻璃体炎症反应。眼底检查显示脉络膜弥漫性增厚，伴有多叶状浆液性视网膜脱离，下方更严重（图1和图2）。荧光素血管造影显示严重的视盘渗漏。超声检查显示脉络膜弥漫性增厚、浆液性视网膜脱离和明显的“T征”（图3）。该患者被诊断为后巩膜炎，并接受了80毫克口服泼尼松治疗。[《眼科手术、激光与视网膜成像》。2019年；50:660。]
