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科根-里斯综合征中的黄斑水肿。

Macular edema in Cogan-Reese syndrome.

作者信息

Bouvarel Hugo, Hamard Pascale, Agard Emilie, Billant Jérémy, El Chehab Hussam, Dot Corinne

机构信息

Hôpital d'Instruction des Armées Desgenettes, 108 Boulevard Pinel, 69003, Lyon, France.

Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, 28 Rue de Charenton, 75012, Paris, France.

出版信息

Am J Ophthalmol Case Rep. 2022 Jan 26;25:101318. doi: 10.1016/j.ajoc.2022.101318. eCollection 2022 Mar.

Abstract

PURPOSE

Iridocorneo-endothelial (ICE) syndrome is known as a rare spectrum causing glaucoma, corneal and iris damages. Retinal complications are uncommon.

OBSERVATIONS

We report the case of a middle-aged woman suffering from a Cogan-Reese Syndrome (CRS) with refractory ocular hypertension (OHT) who presented a cystoid macular edema (CME) during follow up.

CONCLUSIONS AND IMPORTANCE

We suspect the CME to be inflammatory linked to the pathophysiological hypotheses of the CRS. The CME was successfully treated with topical nonsteroidal anti-inflammatory drugs (NSAID). No consensus is available on its duration. A recurrence happened when treatment was stopped, its reintroduction was successful.

摘要

目的

虹膜角膜内皮(ICE)综合征是一种罕见的疾病谱,可导致青光眼、角膜和虹膜损伤。视网膜并发症并不常见。

观察结果

我们报告了一例患有科根-里斯综合征(CRS)并伴有难治性高眼压(OHT)的中年女性病例,该患者在随访期间出现了黄斑囊样水肿(CME)。

结论与意义

我们怀疑CME与CRS的病理生理假说相关的炎症有关。CME通过局部使用非甾体抗炎药(NSAID)成功治愈。关于其持续时间尚无共识。停药后复发,重新用药后成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/252b/8810354/cce2d426d074/gr1.jpg

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