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伤寒热后伴有浆液性视网膜脱离和脉络膜受累的神经视网膜病变——病例报告

Post typhoid fever neuroretinitis with serous retinal detachment and choroidal involvement-A case report.

作者信息

Khatri Anadi, Wagle Bivek, Hony K C, Chaurasiya Babu Dhanendra, Timalsena Satish, Singh Kinsuk, Agrawal Rupesh

机构信息

Department of Vitreoretinal Services, Birat Eye Hospital, Biratnagar, Nepal.

Department of Ophthalmology, Birat Medical College and Teaching Hospital, Biratnagar, Nepal.

出版信息

Am J Ophthalmol Case Rep. 2021 Jan 30;21:101025. doi: 10.1016/j.ajoc.2021.101025. eCollection 2021 Mar.

Abstract

PURPOSE

To report post typhoid fever neuroretinitis with Serous Retinal Detachment and choroidal involvement.

OBSERVATION

Patients with diminished vision post typhoid fever can present with neuroretinitis with serous retinal detachment.

CONCLUSION AND IMPORTANCE

With help from noninvasive imaging such as optical coherence tomography angiography(OCTA) and Deep Range Imaging(DRI), we were able to conclude choroidal involvement - which has not been discussed in literatures yet.OCTA and choroidal thicknessboth served as agood indicators for monitoring the response of treatment in this case.

摘要

目的

报告伤寒热后伴有浆液性视网膜脱离和脉络膜受累的神经视网膜炎。

观察

伤寒热后视力下降的患者可出现伴有浆液性视网膜脱离的神经视网膜炎。

结论与重要性

借助光学相干断层扫描血管造影(OCTA)和深度范围成像(DRI)等非侵入性成像技术,我们能够得出脉络膜受累的结论——这在文献中尚未有过讨论。OCTA和脉络膜厚度均是监测该病例治疗反应的良好指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de46/7878975/a8b3a4c32e92/gr1.jpg

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