一名6岁男孩发生急性双侧浆液性视网膜脱离并自行消退。

Van Camp Sophie, Vande Walle Steffi, Casteels Ingele, Jacob Julie, Cassiman Cathérine, Wouters Carine, Schauwvlieghe Pieter-Paul

Department of Ophthalmology, University Hospitals Leuven, Belgium.

Department of Pediatrics, University Hospitals Leuven, Belgium.

GMS Ophthalmol Cases. 2020 Aug 25;10:Doc37. doi: 10.3205/oc000164. eCollection 2020.

A healthy 6-year-old boy presented with acute bilateral vision loss, multiple serous retinal detachments between the vascular arcades and a thickened choroid. Spontaneous resolution occurred over several weeks. We hypothesize that the clinical constellation in our patient is suggestive of acute exudative polymorphous vitelliform maculopathy (AEPVM) or might be an atypical presentation of Vogt-Koyanagi-Harada (VKH) disease. We propose that it was caused by an autoimmune-mediated activation of inflammatory cells at the level of the choroid, induced by an unknown trigger.

一名健康的6岁男孩出现急性双侧视力丧失、血管弓之间多发浆液性视网膜脱离以及脉络膜增厚。数周内病情自行缓解。我们推测，该患者的临床症状提示为急性渗出性多形性卵黄样黄斑病变（AEPVM），或者可能是Vogt-小柳-原田（VKH）病的非典型表现。我们认为，这是由未知触发因素诱导的脉络膜水平炎症细胞的自身免疫介导激活所致。