COVID-19 相关眼后段脓肿

Sub-Retinal Abscess following COVID-19.

机构信息

Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, Anant Bajaj Retina Insitute, Kallam Anji Reddy Campus, L. V. Prasad Eye Institute, Hyderabad, Telangana, India.

Jhaveri Microbiology Center, Kallam Anji Reddy Campus, L.V. Prasad Eye Institute, Hyderabad, Telangana, India.

出版信息

Indian J Ophthalmol. 2022 Oct;70(10):3707-3709. doi: 10.4103/ijo.IJO_1363_22.

DOI:10.4103/ijo.IJO_1363_22

PMID:36190078

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9789817/

Abstract

A 42-year-old male post-renal transplantation presented with sudden diminution of vision in the left eye. The right eye was lost following a failed vitreoretinal surgery 5 years ago. The patient had been hospitalized 4 months prior for coronavirus disease 2019 infection with a good recovery. The presenting visual acuity was 20/600 in the right eye and 20/250 in the left eye. Fundus examination revealed a sub-macular sub-retinal abscess in the left eye. Sub-retinal aspiration of the abscess revealed Candida albicans. The patient was managed with repeated intravitreal amphotericin B injections, following which the abscess resolved with scarring and vision improving to 20/60.

摘要

一位 42 岁的男性肾移植后患者，左眼突然出现视力下降。5 年前右眼曾因玻璃体视网膜手术失败而失明。4 个月前，该患者因感染 2019 年冠状病毒病住院，恢复良好。右眼的现患视力为 20/600，左眼为 20/250。眼底检查显示左眼黄斑下视网膜下脓肿。对脓肿进行视网膜下抽吸后发现白色念珠菌。患者接受了多次玻璃体内两性霉素 B 注射治疗，脓肿消退后出现瘢痕，视力提高至 20/60。