Kapoor Monika, Singh Preeti, Nayana T K, Madan Siddharth, Beri Sarita
Department of Ophthalmology, Lady Hardinge Medical College and Associated Hospitals, University of Delhi, New Delhi, India.
Indian J Ophthalmol. 2020 Nov;68(11):2580-2582. doi: 10.4103/ijo.IJO_1369_20.
An 80-year-old lady with uncontrolled type 2 diabetes developed fever and abdominal pain followed by a sudden diminution of vision in her left eye. Right infra-renal abscess accounted for abdominal pain. A metastatic left subretinal abscess was diagnosed subsequently. Medical management for her systemic condition initiated. Vitreous biopsy was performed along-with intravitreal antibiotic administration. Because of no clinical recovery, patient underwent pars plana vitrectomy. Prompt systemic stabilization and a timely surgical intervention in the left eye resulted in a satisfactory visual gain. Metastatic subretinal abscess following a perinephric abscess is rare phenomenon and only a few cases are reported to date.
一位80岁的2型糖尿病控制不佳的女士出现发热和腹痛，随后左眼视力突然下降。右肾下脓肿导致腹痛。随后诊断出左视网膜下转移性脓肿。开始对她的全身状况进行药物治疗。进行了玻璃体活检并同时给予玻璃体内抗生素。由于没有临床恢复，患者接受了玻璃体切除术。及时的全身稳定和对左眼的及时手术干预带来了令人满意的视力改善。肾周脓肿后出现转移性视网膜下脓肿是一种罕见现象，迄今为止仅报道了少数病例。
