Mohd Sobri Mohd Khairrudin M, Bastion Mae-Lynn Catherine, Lam Chenshen, Mustapha Mushawiahti
Opthalmology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2024 May 20;16(5):e60660. doi: 10.7759/cureus.60660. eCollection 2024 May.
A 12-year-old boy with underlying severeand poorly controlled atopic dermatitis (AD) associated with atopic conjunctivitis and rhinitis presented with a right painless blurring of vision for two weeks. On examination, his right eye visual acuity was 1/60,with grade 1 relative afferent pupillary defect (RAPD). Anterior segment examination revealed anterior uveitis with dense posterior subcapsular cataract and hazy fundus view. B-scan ultrasound suggested a shallow total retinal detachment. Intraoperatively, a large retinal dialysis was found. This paper highlights the need for a high index of suspicion of retinal dialysis in a child with underlying AD and the importance of good control of this systemic condition to prevent ocular morbidity.
一名12岁男孩，患有严重且控制不佳的特应性皮炎（AD），伴有特应性结膜炎和鼻炎，出现右眼无痛性视力模糊两周。检查时，他的右眼视力为1/60，有1级相对传入性瞳孔障碍（RAPD）。前段检查显示前葡萄膜炎，伴有致密的后囊下白内障和眼底模糊。B超提示全视网膜浅脱离。术中发现一个大的视网膜裂孔。本文强调，对于患有潜在AD的儿童，需要高度怀疑视网膜裂孔，以及良好控制这种全身性疾病以预防眼部发病的重要性。
