特发性纤毛穿透后节呈节段性巩膜炎伴进行性眼内炎症。
IDIOPATHIC PENETRATION OF CILIA INTO THE POSTERIOR SEGMENT PRESENTING AS SECTORAL SCLERITIS WITH PROGRESSIVE INTRAOCULAR INFLAMMATION.
机构信息
Department of Ophthalmology, University of Washington, Seattle, Washington; and.
Proliance Retina, Seattle, Washington.
出版信息
Retin Cases Brief Rep. 2022 Jul 1;16(4):452-456. doi: 10.1097/ICB.0000000000001006. Epub 2020 May 25.
PURPOSE
To report two cases of idiopathic intraocular cilia presenting as sectoral scleritis with progressive intraocular inflammation.
METHODS
Both patients were treated with intravitreal antibiotics and underwent pars plana vitrectomy where the cilia were removed and identified on histopathology.
RESULTS
One patient developed a retinal detachment while being treated for presumed endophthalmitis. The intraocular cilium was discovered during pars plana vitrectomy. In the second case, the cilium was detected on dilated fundus exam and was believed to be the cause of the patient's scleritis and vitritis. Therapeutic vitrectomy was performed. In both cases, the cilia were positively identified on histopathology.
CONCLUSION
Idiopathic intraocular penetration of cilia should be considered in the differential diagnosis of sectoral scleritis with progressive intraocular inflammation.
目的
报告两例特发性眼内睫状体炎，表现为节段性巩膜炎伴进行性眼内炎症。
方法
两名患者均接受玻璃体腔内抗生素治疗，并进行了睫状体切除术，通过组织病理学检查发现了睫状体。
结果
一名患者在疑似眼内炎治疗过程中发生视网膜脱离。在玻璃体切除术时发现了眼内睫状体。在第二例中，睫状体在散瞳眼底检查中被发现，被认为是导致患者巩膜炎和葡萄膜炎的原因。进行了玻璃体切割术。在这两种情况下，组织病理学检查均证实存在睫状体。
结论
在进行节段性巩膜炎伴进行性眼内炎症的鉴别诊断时，应考虑特发性眼内睫状体穿透的可能性。
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