Hayreh S S, Blodi F C, Silbermann N N, Summers T B, Potter P H
Ophthalmologica. 1982;185(4):232-41. doi: 10.1159/000309248.
A 61-year-old man presented with uniocular gradually progressive visual loss, pain in the eye, visual activity of 6/60, markedly constricted visual fields, optic disc edema, retinal pigment epithelial disturbance at the posterior pole, and markedly delayed filling of the choroid on angiography, with a normal fellow eye. He had suffered from recurrent seizures for 15 years, with some evidence of cortical demyelination. Erythrocyte sedimentation rate was elevated. About 5 months after the onset of visual disturbance, evidence of bronchial carcinoma became apparent and he died 6 weeks later. The etiology of his ocular lesions was established only by histopathological evidence of metastases into the optic nerve head and the choroid. Diagnostic problems presented by the ocular findings are discussed.
一名61岁男性，单眼视力逐渐减退，伴眼痛，视力为6/60，视野明显缩小，视盘水肿，后极部视网膜色素上皮紊乱，血管造影显示脉络膜充盈明显延迟，对侧眼正常。他有15年的癫痫反复发作史，有一些皮质脱髓鞘的证据。红细胞沉降率升高。视力障碍出现约5个月后，支气管癌迹象明显，6周后死亡。其眼部病变的病因仅通过视神经乳头和脉络膜转移的组织病理学证据得以明确。文中讨论了眼部表现所带来的诊断问题。
