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脉络膜皱褶的非典型表现：类固醇诱导的中心性浆液性脉络膜视网膜病变样黄斑病变。

Atypical Presentation of Choroidal Folds: Steroid-induced Central Serous Chorioretinopathy-like Maculopathy.

作者信息

Değirmenci Cumali, Afrashi Filiz, Nalçacı Serhad, Çeper Serap Bilge

机构信息

Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey

出版信息

Turk J Ophthalmol. 2019 Dec 31;49(6):367-369. doi: 10.4274/tjo.galenos.2019.92255.

DOI:10.4274/tjo.galenos.2019.92255
PMID:31893595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6961080/
Abstract

This article reports a case of choroidal folds and central serous chorioretinopathy-like maculopathy induced by corticosteroid treatment. The patient was a 70-year-old woman who presented with decreased visual acuity in the right eye. She had a history of rheumatoid arthritis and was prescribed 20 mg leflunomide and 16 mg corticosteroid daily. Fundoscopy indicated bilateral macular edema and the presence of choroidal folds. Retinal imaging supported choroidal folds and central serous chorioretinopathy-like maculopathy. Corticosteroid therapy was discontinued, and the patient was followed up. Complete regression of the maculopathy was observed at 8-month follow-up examination.

摘要

本文报道了一例由皮质类固醇治疗引起的脉络膜皱褶和中心性浆液性脉络膜视网膜病变样黄斑病变的病例。患者为一名70岁女性，右眼视力下降。她有类风湿关节炎病史，每天服用20毫克来氟米特和16毫克皮质类固醇。眼底检查显示双侧黄斑水肿和脉络膜皱褶。视网膜成像支持脉络膜皱褶和中心性浆液性脉络膜视网膜病变样黄斑病变。停用皮质类固醇治疗，并对患者进行随访。在8个月的随访检查中观察到黄斑病变完全消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/1f1b0cfe1491/TJO-49-367-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/1828f15cace6/TJO-49-367-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/f17579b3f786/TJO-49-367-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/1f1b0cfe1491/TJO-49-367-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/1828f15cace6/TJO-49-367-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/f17579b3f786/TJO-49-367-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b88/6961080/1f1b0cfe1491/TJO-49-367-g3.jpg

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2
Central serous chorioretinopathy and glucocorticoids: an update on evidence for association.中心性浆液性脉络膜视网膜病变与糖皮质激素：关联证据的最新进展
Surv Ophthalmol. 2018 Jan-Feb;63(1):1-8. doi: 10.1016/j.survophthal.2017.06.008. Epub 2017 Jun 30.
3
Association of neurosensory detachment with choroidal folds in a hypermetrope: An unusual presentation.
远视眼中神经感觉层脱离与脉络膜皱褶的关联：一种不寻常的表现。
Med J Armed Forces India. 2016 Dec;72(Suppl 1):S87-S90. doi: 10.1016/j.mjafi.2015.09.013. Epub 2015 Dec 2.
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Am J Ophthalmol. 2014 May;157(5):1038-47. doi: 10.1016/j.ajo.2014.02.021. Epub 2014 Feb 14.
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