Trimble S N, Schatz H
Am J Ophthalmol. 1983 Dec;96(6):759-64. doi: 10.1016/s0002-9394(14)71921-x.
A 12-year-old girl had blurred vision and pain behind her left eye for three months. An examination disclosed focal choroiditis and optic nerve edema. Her visual acuity was 20/30. Two similar previous episodes had been diagnosed as scleritis and uveitis and the patient was still on a regimen of 5 mg of prednisone per day and eyedrops containing prednisolone and phenylephrine. A pink choroidal mass superotemporal to the optic disk was negative for calcium by computed tomography and ultrasonography. The corticosteroids were discontinued. Three months later, the patient's visual acuity had improved to 20/20 but the choroidal lesion was slightly larger and two new lesions had appeared, one just above the optic disk and the other superotemporal to the macula. Three years later the two new lesions had coalesced to form one lesion with vascular channels on its surface. Although a choroidal osteoma was suspected, computed tomography and ultrasonography were still negative for calcium. Five years after the initial examination, computed tomography showed a thin ring of calcium within the choroid at the location of the mass. Ultrasonography also confirmed the presence of calcium.
一名12岁女孩左眼视物模糊并伴有眼后疼痛3个月。检查发现局灶性脉络膜炎和视神经水肿。她的视力为20/30。之前有过两次类似发作，曾被诊断为巩膜炎和葡萄膜炎，患者仍在每日服用5毫克泼尼松以及使用含有泼尼松龙和去氧肾上腺素的眼药水。视神经盘颞上侧的一个粉红色脉络膜肿物经计算机断层扫描和超声检查显示无钙化。停用了皮质类固醇药物。3个月后，患者视力提高到20/20，但脉络膜病变略增大，并且出现了两个新病变，一个位于视神经盘上方，另一个位于黄斑颞上侧。3年后，这两个新病变融合形成一个表面有血管通道的病变。尽管怀疑是脉络膜骨瘤，但计算机断层扫描和超声检查仍未发现钙化。初次检查5年后，计算机断层扫描显示肿物部位的脉络膜内有一薄层钙化环。超声检查也证实了钙化的存在。
