一名静脉药物成瘾者发生的内源性眼内炎，表现为视网膜乳头周围视网膜内肉芽肿伴牵引性视网膜脱离。
Endogenous Endophthalmitis in a Person Addicted to Intravenous Drugs Presenting as an Intraretinal Peripapillary Granuloma With Tractional Retinal Detachment.
作者信息
Robbins Cason B, Feng Henry L, Zhang Wenlan, Fekrat Sharon, Grewal Dilraj S
机构信息
Department of Ophthalmology, Duke Eye Center, Duke University, Durham, NC, USA.
Northwest Retina, Portland, OR, USA.
出版信息
J Vitreoretin Dis. 2021 Jun 10;6(2):151-154. doi: 10.1177/24741264211018303. eCollection 2022 Mar-Apr.
PURPOSE
To report a case of endogenous endophthalmitis in a 28-year-old man with recent intravenous drug use that presented as an intraretinal peripapillary granuloma extending from the optic nerve head with an associated macular tractional retinal detachment.
METHODS
Case report.
RESULTS
Anterior chamber tap yielded aqueous cultures positive for . A diagnostic and therapeutic vitrectomy was performed after inpatient hospitalization for 3 weeks to relieve a progressively worsening tractional retinal detachment.
CONCLUSIONS
Atypical causes of endophthalmitis, including nontuberculous mycobacterium, in the population of individuals addicted to intravenous drugs may present with intraretinal peripapillary granuloma associated with a macular tractional retinal detachment. Surgical debulking to relieve anteroposterior traction is an effective treatment option to improve long-term visual outcomes.
目的
报告一例28岁近期有静脉吸毒史男性的内源性眼内炎病例，该病例表现为从视神经乳头延伸的视网膜内视乳头周围肉芽肿，并伴有黄斑牵拉性视网膜脱离。
方法
病例报告。
结果
前房穿刺获得的房水培养结果为阳性。住院3周后进行了诊断性和治疗性玻璃体切除术，以缓解逐渐加重的牵拉性视网膜脱离。
结论
在静脉吸毒人群中，眼内炎的非典型病因，包括非结核分枝杆菌，可能表现为与黄斑牵拉性视网膜脱离相关的视网膜内视乳头周围肉芽肿。通过手术减轻前后牵拉是改善长期视觉预后的有效治疗选择。
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