一例伴有视网膜下液的创伤性脉络膜病变
A Case of Traumatic Choroidopathy With Subretinal Fluid.
作者信息
Mishra Kapil, Iftikhar Mustafa, Channa Roomasa
机构信息
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
出版信息
J Vitreoretin Dis. 2020 Sep 17;5(2):165-169. doi: 10.1177/2474126420951976. eCollection 2021 Mar-Apr.
PURPOSE
We report a unique case of blunt ocular trauma with subretinal fluid (SRF), presumed to be traumatic choroidopathy as evidenced by multimodal imaging.
METHODS
A case report is presented.
RESULTS
A 22-year-old woman involved in a motor vehicle accident presented 1 day later to our emergency department with blurred vision in the left eye. Visual acuity was 20/40, significant SRF was present throughout the macula, and fluorescein angiography showed diffuse pooling and leakage. There were no retinal tears or intraocular inflammation. Indocyanine green angiography performed a week later showed patchy hypofluorescence in the affected area. One month later, visual acuity had improved to 20/20 and the SRF and the hypofluorescence on indocyanine green angiography had resolved.
CONCLUSIONS
Subfoveal collection of SRF may be a cause of decreased vision following blunt ocular trauma. We hypothesize that in our case choroidal hypoperfusion and retinal pigment epithelial dysfunction contributed to the SRF collection.
目的
我们报告一例伴有视网膜下液（SRF）的钝性眼外伤的独特病例，通过多模态成像证实推测为外伤性脉络膜病变。
方法
呈现一例病例报告。
结果
一名22岁女性在机动车事故后1天因左眼视力模糊就诊于我们的急诊科。视力为20/40，整个黄斑区存在明显的视网膜下液，荧光素血管造影显示弥漫性充盈和渗漏。无视网膜裂孔或眼内炎症。一周后进行的吲哚菁绿血管造影显示受累区域有斑片状低荧光。一个月后，视力提高到20/20，视网膜下液以及吲哚菁绿血管造影上的低荧光消失。
结论
黄斑下视网膜下液积聚可能是钝性眼外伤后视力下降的一个原因。我们推测在我们的病例中脉络膜灌注不足和视网膜色素上皮功能障碍导致了视网膜下液的积聚。
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