Gündüz K, Shields C L, Shields J A, Schubert H
Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Ophthalmic Surg Lasers. 1998 May;29(5):422-5.
This report describes a presumed choroidal granuloma with vitreous hemorrhage resembling choroidal melanoma. A healthy 31-year-old man, who had progressive vision loss in the right eye during 1 month, was found to have a yellow-white juxtapapillary choroidal mass. Fluorescein angiography demonstrated a choroidal neovascular membrane over the lesion. There was focal persistent hypofluorescence in the late phase of fluorescein angiography. The thickness of the lesion increased from 3.0 mm to 7.1 mm during 1 month. Subretinal and vitreous hemorrhage developed. The patient was suspected to have a choroidal granuloma and choroidal neovascular membrane, and was treated with oral steroids. Ten months later, the vitreous blood cleared completely with an attached retina. Control of inflammation may have a role in the treatment of idiopathic choroidal granulomas and some choroidal neovascular membranes secondary to ocular inflammation.
本报告描述了一例疑似脉络膜肉芽肿伴玻璃体出血，类似于脉络膜黑色素瘤。一名健康的31岁男性，在1个月内右眼视力逐渐下降，被发现有一个黄白色的视乳头旁脉络膜肿物。荧光素血管造影显示病变上方有脉络膜新生血管膜。在荧光素血管造影晚期有局灶性持续低荧光。病变厚度在1个月内从3.0毫米增加到7.1毫米。发生了视网膜下和玻璃体出血。该患者被怀疑患有脉络膜肉芽肿和脉络膜新生血管膜，并接受了口服类固醇治疗。十个月后，玻璃体血液完全清除，视网膜附着。炎症控制可能在特发性脉络膜肉芽肿和一些继发于眼部炎症的脉络膜新生血管膜的治疗中起作用。
