双侧后巩膜炎。
Bilateral posterior scleritis.
作者信息
Dodds E M, Irarrázaval L A, Scarfone A, Gáspari E
出版信息
Ocul Immunol Inflamm. 1997 Dec;5(4):267-9. doi: 10.3109/09273949709085067.
PURPOSE
To describe an unusual presentation of posterior scleritis in a healthy young patient.
METHOD
We reviewed the medical record of 21-year-old man for clinical presentation, course, and ancillary studies.
RESULTS
The healthy patient had a painless, bilateral posterior scleritis that presented with a combination of circumscribed fundus masses and exudative macular detachment. On fluorescein angiography, different hyper-fluorescent patterns characterized the two manifestations of posterior scleritis. An ultrasound confirmed the scleral thickening. Fundoscopic abnormalities resolved with oral prednisone.
CONCLUSION
Pain is not always present in this disease. A combination of exudative macular detachment and circumscribed fundus masses can be a form of presentation in posterior scleritis.
目的
描述一名健康年轻患者后巩膜炎的不寻常表现。
方法
我们回顾了一名21岁男性患者的病历，以了解其临床表现、病程及辅助检查情况。
结果
该健康患者患有无痛性双侧后巩膜炎，表现为局限性眼底肿物和渗出性黄斑脱离。荧光素血管造影显示，后巩膜炎的两种表现具有不同的高荧光模式。超声检查证实巩膜增厚。经口服泼尼松治疗后，眼底镜检查异常消失。
结论
该病并非总是伴有疼痛。渗出性黄斑脱离和局限性眼底肿物可作为后巩膜炎的一种表现形式。
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