Sharp D C, Bell R A, Patterson E, Pinkerton R M
Arch Ophthalmol. 1984 Feb;102(2):232-5. doi: 10.1001/archopht.1984.01040030182022.
Sympathetic ophthalmia was found 15 months after cataract extraction in a previously traumatized eye. Histopathologic examination disclosed numerous Dalen-Fuchs nodules with underlying choroidal granulomas causing obliteration of the choriocapillaris and disruption of Bruch's membrane. Prominent Dalen-Fuchs nodules were also observed clinically in the sympathizing eye, and the angiographic findings of initial hypofluorescence followed by late hyperfluorescence correlated with the pathologic findings in the sympathogenic eye. Only ten cases of sympathetic ophthalmia with fluorescein angiography have been reported previously. This is the fifth case accompanied by a histopathologic description of the exciting eye. The finding of breaks in Bruch's membrane has not been previously reported, to the best of our knowledge. This article compares the angiographic and pathologic appearances with those described in previous reports.
交感性眼炎在一只先前受过外伤的眼睛白内障摘除术后15个月被发现。组织病理学检查发现大量达伦-富克斯结节，其下方有脉络膜肉芽肿，导致脉络膜毛细血管闭塞和布鲁赫膜破坏。在交感眼临床上也观察到明显的达伦-富克斯结节，血管造影显示最初的低荧光随后是晚期高荧光，这与交感眼的病理表现相关。此前仅报道过10例交感性眼炎的荧光素血管造影病例。这是第五例伴有激发眼组织病理学描述的病例。据我们所知，此前尚未报道过布鲁赫膜破裂的发现。本文将血管造影和病理表现与先前报道中描述的进行了比较。
