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鸟枪弹样视网膜脉络膜病变

Birdshot retinochoroidopathy.

作者信息

Ryan S J, Maumenee A E

出版信息

Am J Ophthalmol. 1980 Jan;89(1):31-45. doi: 10.1016/0002-9394(80)90226-3.

Abstract

Thirteen patients had a new syndrome and entity in intraocular inflammation called birdshot retinochoroidopathy, which was characterized by a white, painless eye with minimal anterior segment inflammation but particulate debris in the anterior and posterior vitreous. There was profuse retinal vascular leakage with resultant retinal, macular, and disk edema, which are the primary causes of the decreased vision in this syndrome. Long-term follow-up (mean of ten years) revealed that only two patients seemed to respond to anti-inflammatory therapy (systemic corticosteroids) and five patients progressed to 6/60 (20/200) or less visual acuity in at least one eye.

摘要

13名患者患有一种眼内炎症的新综合征和病症,称为鸟枪弹样视网膜脉络膜病变,其特征是眼睛呈白色、无痛,眼前节炎症轻微,但玻璃体前、后有颗粒状碎屑。视网膜血管大量渗漏,导致视网膜、黄斑和视盘水肿,这些是该综合征视力下降的主要原因。长期随访(平均10年)显示,只有2名患者似乎对抗炎治疗(全身使用皮质类固醇)有反应,5名患者至少一只眼睛的视力下降至6/60(20/200)或更低。

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