Stone L S, Ehrenberg M
Br J Ophthalmol. 1984 Sep;68(9):660-6. doi: 10.1136/bjo.68.9.660.
A 21-year-old black man with presumed systemic sarcoidosis had bilateral choroidal nodules, unilateral retinal neovascularisation and vitreous haemorrhage, and non-caseating granulomas on percutaneous liver biopsy. The choroidal nodules were serially documented by fundus photography and fluorescein angiography over a 22-month period. Fluorescein angiography was more accurate than ophthalmoscopy in demonstrating choroidal inflammation. The choroidal nodules resolved after systemic corticosteroid therapy. A vitreous haemorrhage occurred probably secondary to neovascularisation related to occlusion of an inferotemporal branch vein. The non-resolving vitreous haemorrhage and associated traction retinal detachment were treated with vitrectomy and membrane sectioning.
一名21岁的黑人男性，疑似患有系统性结节病，出现双侧脉络膜结节、单侧视网膜新生血管形成和玻璃体出血，经皮肝活检发现非干酪样肉芽肿。在22个月的时间里，通过眼底摄影和荧光素血管造影对脉络膜结节进行了连续记录。荧光素血管造影在显示脉络膜炎症方面比检眼镜检查更准确。系统性皮质类固醇治疗后，脉络膜结节消退。玻璃体出血可能继发于与颞下分支静脉阻塞相关的新生血管形成。对不吸收的玻璃体出血及相关的牵引性视网膜脱离进行了玻璃体切除术和膜切开术治疗。
