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表现为视神经视网膜炎的前房内颚口线虫病。

Intracameral gnathostomiasis presenting as neuroretinitis.

作者信息

Lay Kimhour, Un Leng, Chukmol Kossama, Kong Piseth

机构信息

The University of Edinburgh, College of Medicine and Veterinary Medicine, Edinburgh, UK

Department of Ophthalmology, Preah Ang Duong Hospital, Phnom Penh, Cambodia.

出版信息

BMJ Case Rep. 2025 Mar 5;18(3):e260393. doi: 10.1136/bcr-2024-260393.

Abstract

A male patient in his 40s visited our ophthalmology outpatient department with complaints of periocular swelling, redness and decreased vision in the right eye. Initial examinations revealed anterior chamber cell 4+, vitreous cell 2+ and fibrous proliferation with haemorrhage in the superior and temporal regions around the swollen optic disc with macular oedema. Despite initial treatment, the patient showed no improvement. Subsequent slit-lamp examination revealed a nematode in the anterior chamber, prompting surgical removal and identification as This case underscores the importance of considering intraocular gnathostomiasis in patients presenting with neuroretinitis and panuveitis, particularly in endemic regions.

摘要

一名40多岁的男性患者因右眼眼周肿胀、发红和视力下降前来我院眼科门诊就诊。初步检查发现前房细胞4+,玻璃体细胞2+,视盘肿胀周围上方和颞侧区域有纤维增生伴出血,伴有黄斑水肿。尽管进行了初始治疗,但患者并无改善。随后的裂隙灯检查发现前房内有一条线虫,遂进行手术摘除并鉴定为 。该病例强调了在出现神经视网膜炎和全葡萄膜炎的患者中,尤其是在流行地区,考虑眼内颚口线虫病的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb45/11883338/468bbe445244/bcr-18-3-g001.jpg

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