Seo M S, Woo J M, Jeong S K, Park Y G
Department of Ophthalmology, Chonnam National University Medical School and Hospital, Chonnam University Research Institute of Medical Science, Kwangju, Korea.
Jpn J Ophthalmol. 1998 Jan-Feb;42(1):56-9. doi: 10.1016/s0021-5155(97)00107-x.
In the left eye of a 27-year-old man we found perivascular creamy sheathing of retinal veins with retinal hemorrhages and, on fluorescein angiography, delayed filling of veins with late leakage. Dramatic recovery of visual acuity and healing of retinal lesions followed intravenous corticosteroid therapy. However, the condition recurred several times within a few months. Fluorescein angiography showed delayed filling of arteries and veins and arteriovenous anastomoses with a widespread capillary nonperfusion area. Eventually, neovascular glaucoma resulted. It is suggested that frosted branch angiitis is related to vascular occlusion. Systemic corticosteroid therapy seems to affect the course of this disease.
在一名27岁男性的左眼，我们发现视网膜静脉周围有乳白色鞘膜，伴有视网膜出血，荧光素血管造影显示静脉充盈延迟且晚期渗漏。静脉注射皮质类固醇治疗后，视力显著恢复，视网膜病变愈合。然而，病情在几个月内复发了几次。荧光素血管造影显示动脉和静脉充盈延迟，存在动静脉吻合，并有广泛的毛细血管无灌注区。最终导致了新生血管性青光眼。提示霜样树枝状视网膜血管炎与血管阻塞有关。全身皮质类固醇治疗似乎会影响该病的病程。
