Sachdev M S, Sood N N, Mohan M, Sachdev H P, Gupta S K
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Jpn J Ophthalmol. 1987;31(3):467-74.
During an outbreak of epidemic dropsy in Delhi, 233 patients were studied. Retinal changes including venous dilatation and tortuosity, haemorrhages and disc oedema were observed. A clinical picture compatible with type I optic disc vasculitis was seen in 13 eyes and that of type II in 3 eyes. Fluorescein angiography was carried out in 23 randomly selected cases. Relevant angiographic findings included dilated and tortuous retinal veins, prominent vascular staining, blocked fluorescence, microaneurysms, disc oedema and peripapillary dye spillage. Presence of positive angiographic findings correlated well with the severity of the systemic disease, glaucoma, however, revealed no correlation. Papillophlebitis, a new ocular manifestation of Argemone mexicana oil toxicity, as also the fluorescein angiographic picture in epidemic dropsy is being reported for the first time in the literature.
在德里流行性水肿暴发期间，对233例患者进行了研究。观察到视网膜改变，包括静脉扩张和迂曲、出血以及视盘水肿。13只眼出现了与Ⅰ型视盘血管炎相符的临床表现，3只眼出现了Ⅱ型的临床表现。对23例随机选取的病例进行了荧光素血管造影。相关的血管造影表现包括视网膜静脉扩张和迂曲、明显的血管染色、荧光遮蔽、微动脉瘤、视盘水肿以及视乳头周围染料渗漏。血管造影阳性表现的存在与全身性疾病的严重程度密切相关，然而，青光眼与之并无关联。文献首次报道了墨西哥蓟罂粟油中毒的一种新的眼部表现——乳头静脉炎，以及流行性水肿的荧光素血管造影图像。
