交感性眼炎

Sympathetic ophthalmia.

作者信息

Dreyer W B, Zegarra H, Zakov Z N, Gutman F A

出版信息

Am J Ophthalmol. 1981 Dec;92(6):816-23. doi: 10.1016/s0002-9394(14)75636-3.

Abstract

A 29-year-old woman developed severe ocular manifestations of sympathetic ophthalmia on the day after enucleation of a blind, painful eye, and four weeks after a penetrating ocular injury. She was observed for one year with fundus photography, fluorescein angiography, and electrophysiologic tests. Nystagmus, a rare systemic manifestation of sympathetic ophthalmia, was noted early in the course of her disease and was accompanied by vertigo, truncal ataxia, and cerebrospinal fluid pleocytosis. Enucleation and intensive corticosteroid treatment resolved the process; however, she has experienced recurrences in the two-year follow-up period.

摘要

一名29岁女性在摘除一只失明且疼痛的眼睛后次日，以及穿透性眼外伤四周后，出现了交感性眼炎的严重眼部表现。通过眼底照相、荧光素血管造影和电生理检查对她进行了一年的观察。眼球震颤是交感性眼炎罕见的全身表现，在她疾病过程早期就被发现，同时伴有眩晕、躯干共济失调和脑脊液淋巴细胞增多。眼球摘除术和强化皮质类固醇治疗使病情得到缓解；然而，在两年的随访期内她出现了复发。