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中国大陆一例由眼眶蜂窝织炎引起的渗出性视网膜脱离病例报告。

A case report of exudative retinal detachment derived from orbital cellulitis in mainland China.

作者信息

Song Wei, Du Cheng, Zhang Yongjie

机构信息

Department of Ophthalmology, Jiaxing Hospital of Traditional Chinese Medicine, Zhongshan East Road 1501, Nanhu District, Jiaxing, 314001, Zhejiang Province, PR China.

出版信息

BMC Ophthalmol. 2020 Aug 17;20(1):332. doi: 10.1186/s12886-020-01596-6.

DOI:10.1186/s12886-020-01596-6
PMID:32807110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7433059/
Abstract

BACKGROUND

Orbital cellulitis is a rare cause of exudative retinal detachment. Hereby, we aimed to report the first case of exudative retinal detachment derived from orbital cellulitis in mainland China.

CASE PRESENTATION

A 16-year-old girl developed severe left orbital cellulitis in 4 days. Two exudative retinal detachment lesions were presented in her left eye retina. Blood cultures were performed which identified Staphylococcus aureus. However, the cause for the orbital cellulitis was not idenitfied in this patient. Systemic application of antibiotics together with topical antibiotics and corticosteroid was effective to the improvement of orbital cellulitis and resolution of exudative retinal detachment.

CONCLUSIONS

The treatment of such clinical condition is that of orbital cellulitis in general. The exudative retinal detachment can resolve to a great extent upon cure of the underlying disease, followed by visual acuity recovery.

摘要

背景

眼眶蜂窝织炎是渗出性视网膜脱离的罕见病因。在此,我们旨在报告中国大陆首例由眼眶蜂窝织炎引起的渗出性视网膜脱离病例。

病例介绍

一名16岁女孩在4天内患上严重的左眼眶蜂窝织炎。其左眼视网膜出现两个渗出性视网膜脱离病灶。进行了血培养,鉴定出金黄色葡萄球菌。然而,该患者眼眶蜂窝织炎的病因未明确。全身应用抗生素以及局部应用抗生素和皮质类固醇对改善眼眶蜂窝织炎和消退渗出性视网膜脱离有效。

结论

这种临床情况的治疗一般为眼眶蜂窝织炎的治疗。潜在疾病治愈后,渗出性视网膜脱离可在很大程度上消退,随后视力恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c323/7433059/1ac98e4149ee/12886_2020_1596_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c323/7433059/7ef3cfb7ac6d/12886_2020_1596_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c323/7433059/1ac98e4149ee/12886_2020_1596_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c323/7433059/7ef3cfb7ac6d/12886_2020_1596_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c323/7433059/1ac98e4149ee/12886_2020_1596_Fig2_HTML.jpg

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Eye (Lond). 2014 Jan;28(1):109-10. doi: 10.1038/eye.2013.243. Epub 2013 Nov 15.
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Eye (Lond). 2009 Mar;23(3):612-5. doi: 10.1038/eye.2008.44. Epub 2008 Feb 29.
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