Lang G K, Surer J L, Green W R, Finkelstein D, Michels R G, Maumenee A E
Retina. 1985 Spring-Summer;5(2):79-86.
A 56-year-old man presented with recalcitrant uveitis with anterior chamber and vitreous cells. He developed small scattered lesions in the macular areas of both eyes, which disappeared in the right eye and evolved to multifocal, discrete, punched-out lesions resembling birdshot retinochoroidopathy in the left eye. Ocular reticulum cell sarcoma (RCS) was suspected but was not confirmed by diagnostic vitrectomy. The patient died 3 years later and was found to have RCS with central nervous system and ocular involvement. The occurrence of tumor cells under the retinal pigment was the apparent cause of the multifocal lesions that disappeared in the right eye and that led to discrete punched-out lesions with no scarring in the left eye.
一名56岁男性因顽固性葡萄膜炎伴前房和玻璃体细胞就诊。他双眼黄斑区出现散在小病灶，右眼病灶消失，左眼病灶发展为多灶性、离散的、类似鸟枪弹样视网膜脉络膜病变的凿孔样病灶。怀疑为眼网状细胞肉瘤（RCS），但诊断性玻璃体切除术未确诊。患者3年后死亡，尸检发现患有累及中枢神经系统和眼部的RCS。视网膜色素上皮下肿瘤细胞的出现显然是右眼消失而左眼导致无瘢痕的离散凿孔样病灶的多灶性病变的原因。
