Oka C, Ideta H, Nagasaki H, Watanabe K, Shinagawa K
Ideta Eye Hospital, Kumamoto City, Japan.
Ophthalmology. 1994 Jun;101(6):1050-4. doi: 10.1016/s0161-6420(94)31219-x.
The cause of retinal detachment (RD) with atopic dermatitis remains uncertain. The purpose of this study is to show that the probable cause of RD with atopic dermatitis is ocular contusion.
The authors retrospectively compared the fundus findings of 24 eyes (16 patients) that had RD and atopic dermatitis with 36 eyes (36 patients) that had traumatic RD.
The authors found similar characteristics. Retinal breaks at vitreous base borders characterized by ocular contusion occurred in 79.2% of eyes with RD and atopic dermatitis and in 75.0% of eyes with traumatic RD. Irregular retinal traumatic breaks in the equatorial zone occurred in 20.8% of eyes with RD and atopic dermatitis and in 47.2% of eyes with traumatic RD. Objective signs of ocular contusion outside the retina appeared in 54.2% of eyes with RD and atopic dermatitis.
The authors' data support the conclusion that self-inflected ocular contusion by tapping the eyes can cause RD with atopic dermatitis.
特应性皮炎伴发视网膜脱离(RD)的病因仍不明确。本研究的目的是表明特应性皮炎伴发RD的可能病因是眼部挫伤。
作者回顾性比较了24只眼(16例患者)患有RD和特应性皮炎的眼底表现与36只眼(36例患者)患有外伤性RD的眼底表现。
作者发现了相似的特征。以眼部挫伤为特征的玻璃体基底部边界处视网膜裂孔在79.2%的RD和特应性皮炎患眼中出现,在75.0%的外伤性RD患眼中出现。赤道区不规则视网膜外伤性裂孔在20.8%的RD和特应性皮炎患眼中出现,在47.2%的外伤性RD患眼中出现。视网膜外眼部挫伤的客观体征在54.2%的RD和特应性皮炎患眼中出现。
作者的数据支持这样的结论,即通过拍打眼睛造成的自身眼部挫伤可导致特应性皮炎伴发RD。