Augustin A J, Böker T, Seewald S, Klassen P M
University Eye Hospital, Bonn, Germany.
Ger J Ophthalmol. 1994 Mar;3(2):71-2.
A 31-year-old white patient was referred with a recent history of decreased visual acuity in his left eye. A raised, greyish-white lesion close to the optic nerve was the only ophthalmological finding. Upon systemic work-up a chest X-ray revealed enlarged pulmonary lymph nodes. A biopsy obtained during bronchoscopy led to the diagnosis of sarcoidosis. No other manifestation was noted. Following systemic steroid treatment the lesion regressed and visual acuity improved. Granulomatous inflammatory diseases have to be ruled out in cases of prominent greyish-white fundus lesions.
一名31岁的白人患者因近期左眼视力下降前来就诊。唯一的眼科检查发现是靠近视神经处有一个灰白色隆起病变。全身检查时，胸部X光显示肺门淋巴结肿大。支气管镜检查时获取的活检结果确诊为结节病。未发现其他表现。经过全身类固醇治疗后，病变消退，视力改善。眼底出现明显灰白色病变的病例必须排除肉芽肿性炎症疾病。
