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[睫状体神经鞘瘤病例中的交感性眼炎]

[Sympathetic ophthalmia in a case of neurilemmoma of the ciliary body].

作者信息

Ignat F, Simionescu C

机构信息

Clinica de Oftalmologie, Facultatea de Medicină, Craiova.

出版信息

Oftalmologia. 1993 Oct-Dec;37(4):315-20.

PMID:8286315
Abstract

The paper presents the case of a 62-year-old male patient, which has been hospitalized with the symptomatology of a acute glaucoma through intumescent lens. After the lens extraction, the globe evolution was to atrophy with chronic irrigation, starting a hypertensive cyclitis at the other eye, assumed to be a sympathetic ophthalmia. After several acute evolutive episodes at both eyes, the enucleation of the primal eye was made and a ciliary body tumour (neurinoma) was discovered. After enucleation under general and local cortisone treatment, the inflammatory phenomena at the sympathetic eye were entering in remission; but the hypertony, which was considered to be an open-angle pre-existent glaucoma, was persistent. The paper also discusses the sympathetic ophthalmia producing mechanism the characteristics of the ciliary body tumour and the diagnosis problems raised by this case.

摘要

本文介绍了一名62岁男性患者的病例,该患者因膨胀期晶状体导致急性青光眼症状而住院。晶状体摘除术后,眼球逐渐萎缩并伴有慢性炎症,另一只眼开始出现高血压性睫状体炎,被认为是交感性眼炎。双眼经历几次急性进展期后,摘除了原发病眼,发现了睫状体肿瘤(神经瘤)。在全身和局部使用可的松治疗下行眼球摘除术后,交感性眼的炎症现象开始缓解;但被认为是原发性开角型青光眼的高眼压仍然存在。本文还讨论了交感性眼炎的发病机制、睫状体肿瘤的特点以及该病例所引发的诊断问题。

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