电击性视网膜病变：一例晚期视网膜表现的病例报告
Electric Shock Retinopathy: Case Report of a Late Retinal Manifestation.
作者信息
Valera-Cornejo Diego Alejandro, García-Roa Marlon, Ramírez-Neria Paulina, Romero-Morales Verónica, Villalpando-Gómez Yolanda, García-Franco Renata
机构信息
Department of Retina, Mexican Institute of Ophthalmology, Santiago de Querétaro, Qro, Mexico.
National Autonomous University of Mexico, Ciudad de México, Mexico.
出版信息
J Vitreoretin Dis. 2020 Feb 7;4(2):139-143. doi: 10.1177/2474126420903277. eCollection 2020 Mar-Apr.
PURPOSE
This is a case report of a male patient who suffered a high-voltage electrical burn and presented with bilateral pigmentary retinopathy.
METHODS
A 40-year-old man presented with bilateral vision loss following a high-voltage electrical injury sustained 10 years earlier. Family history, ocular history, and anterior segment evaluation were unremarkable.
RESULTS
Fundus examination revealed bilateral optic disc pallor, widespread areas of chorioretinal atrophy, and pigmentary changes surrounding the optic disc that partially involved the macula with some spared areas located on the superior retina.
CONCLUSIONS
Retinal manifestations following a high-voltage electrical injury can resemble other hereditary and inflammatory diseases with similar clinical patterns, therefore, a meticulous family, medical, and clinical evaluation is essential.
目的
本文报告一例男性患者，其遭受高压电烧伤后出现双侧色素性视网膜病变。
方法
一名40岁男性在10年前遭受高压电损伤后出现双侧视力丧失。家族史、眼部病史及眼前节评估均无异常。
结果
眼底检查发现双侧视盘苍白、广泛的脉络膜视网膜萎缩区域，以及视盘周围的色素改变，部分累及黄斑，视网膜上方有一些 spared 区域。
结论
高压电损伤后的视网膜表现可能类似于其他具有相似临床模式的遗传性和炎症性疾病，因此，细致的家族、医学和临床评估至关重要。
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