Wakakura M, Ishikawa S
Br J Ophthalmol. 1984 May;68(5):329-31. doi: 10.1136/bjo.68.5.329.
Central serous chorioretinopathy developed in 2 cases of retrobulbar neuritis during systemic treatment with corticosteroids. Fluorescein angiography confirmed leakage surrounded by central serous detachment of the retina. In one case the central serous chorioretinopathy recurred 3 times during 3 separate courses of treatment. Spontaneous recovery accompanied a reduction in steroid treatment to a low level. It is suggested that high dosage corticosteroids may damage the posterior blood-ocular barrier.
在2例球后视神经炎患者全身应用皮质类固醇治疗期间发生了中心性浆液性脉络膜视网膜病变。荧光素血管造影证实视网膜中心性浆液性脱离周围有渗漏。1例患者在3个不同疗程的治疗中中心性浆液性脉络膜视网膜病变复发3次。随着类固醇治疗减至低剂量,病变自发恢复。提示高剂量皮质类固醇可能损害后部血眼屏障。