化学性眼烧伤后交感性眼炎的非典型表现。
An atypical presentation of sympathetic ophthalmia following chemical ocular burns.
作者信息
Bansal Pooja, Singh Maninder, Gupta Yashi, Gotmare Nikhil, Thakar Meenakshi, Arora Ritu
机构信息
Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, 110002, India.
出版信息
J Ophthalmic Inflamm Infect. 2023 May 16;13(1):25. doi: 10.1186/s12348-023-00348-z.
BACKGROUND
Sympathetic ophthalmia is a rare disease that can present as bilateral granulomatous uveitis after a penetrating trauma or surgery in one eye.
FINDINGS
We report a case of a 47-year-old male with history of decreased vision in the right eye, six months after sustaining severe chemical injury in the left eye. He was diagnosed with sympathetic ophthalmia and was treated with corticosteroids and long-term immunosuppressive therapy, leading to complete resolution of intraocular inflammation. Final visual acuity was 20/30 at one year of follow up.
CONCLUSIONS
Sympathetic Ophthalmia following chemical ocular burns is extremely uncommon. It can present as a diagnostic and therapeutic challenge. It warrants early diagnosis and management.
背景
交感性眼炎是一种罕见疾病，可在一只眼遭受穿透性外伤或手术后表现为双侧肉芽肿性葡萄膜炎。
研究结果
我们报告一例47岁男性病例，其左眼遭受严重化学伤6个月后出现右眼视力下降。他被诊断为交感性眼炎，并接受了皮质类固醇和长期免疫抑制治疗，眼内炎症完全消退。随访一年时最终视力为20/30。
结论
化学性眼烧伤后发生交感性眼炎极为罕见。它可能带来诊断和治疗挑战。需要早期诊断和处理。
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