Chiquet C, Germain P, Burillon C, Coudry-Vergne D, Perez M, Paupert-Ravault M, Denis P
Service d'Ophtalmologie, Lyon.
J Fr Ophtalmol. 1996;19(11):712-5.
We describe a patient with multifocal choroidal lesions affecting the midperipheral fundus, with an atrophic and scattered punched-out pale aspect. Lesions were discovered seven months after an ipsilateral herpes zoster ophthalmicus. Fluorescein angiography findings exhibited a delay of choroidal injection and late moderate staining during the venous phase. The etiological arguments refer to a previous herpes zoster infection. The pathogeny would involve an occlusion of posterior ciliary arteries, lesions of posterior ciliary nerves and/or direct cytopathogenic involvement of chorioretina by neurotropic virus from ciliary ganglion.
我们描述了一名患者，其多灶性脉络膜病变累及中周边眼底，呈现萎缩且散在的筛孔状淡色外观。病变在同侧眼部带状疱疹发作七个月后被发现。荧光素血管造影结果显示脉络膜充盈延迟，静脉期晚期有中度染色。病因学依据指向既往的带状疱疹感染。发病机制可能涉及睫状后动脉阻塞、睫状后神经损伤和/或来自睫状神经节的嗜神经病毒对脉络膜视网膜的直接细胞致病作用。
