急性后极部多灶性扁平色素上皮病变伴双侧视网膜中央静脉阻塞
Acute posterior multifocal placoid pigment epitheliopathy with bilateral central retinal vein occlusion.
作者信息
Allee S D, Marks S J
机构信息
Department of Ophthalmology, Geisinger Medical Center.
出版信息
Am J Ophthalmol. 1998 Aug;126(2):309-12. doi: 10.1016/s0002-9394(98)00158-5.
PURPOSE
We examined a patient with acute posterior multifocal placoid pigment epitheliopathy and bilateral central retinal vein occlusion.
METHOD
Case report. A 28-year-old woman presented with the typical findings of acute posterior multifocal placoid pigment epitheliopathy. One month after presentation, the patient developed bilateral central retinal vein occlusion.
RESULT
Four months after presentation, resolution of the bilateral central retinal vein occlusion resulted in a corrected visual acuity of RE, 20/25 and LE, 3/400.
CONCLUSION
Vasculitis, sometimes associated with acute posterior multifocal placoid pigment epitheliopathy, can affect the ciliary vessels that supply the optic disk. This may result in axoplasmic stasis and compression of the central retinal vein, leading to impending or complete central retinal vein occlusion.
目的
我们检查了一名患有急性后极部多灶性扁平色素上皮病变和双侧视网膜中央静脉阻塞的患者。
方法
病例报告。一名28岁女性出现急性后极部多灶性扁平色素上皮病变的典型表现。就诊后1个月，该患者发生双侧视网膜中央静脉阻塞。
结果
就诊后4个月，双侧视网膜中央静脉阻塞消退，右眼矫正视力为20/25，左眼为3/400。
结论
血管炎有时与急性后极部多灶性扁平色素上皮病变相关，可影响供应视盘的睫状血管。这可能导致轴浆淤滞和视网膜中央静脉受压，从而导致即将发生或完全性视网膜中央静脉阻塞。
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