脉络膜新生血管形成作为甲状旁腺功能亢进的晚期并发症。
Choroidal neovascularization as a late complication of hyperparathyroidism.
作者信息
Cohen S Y, Guyot-Sionnest M, Puech M
机构信息
Centre d'Imagerie et de Laser, Paris, France.
出版信息
Am J Ophthalmol. 1998 Aug;126(2):320-2. doi: 10.1016/s0002-9394(98)00160-3.
PURPOSE
To report choroidal neovascularization in a patient with sclerochoroidal calcification secondary to hyperparathyroidism.
METHOD
Case report. Bilateral ocular fundus abnormalities observed in a 74-year-old woman were documented with fluorescein angiography and ultrasonography.
RESULTS
Two yellow, irregular, oval placoid lesions were observed in the fundus of each eye. Ultrasound examination showed that these areas were extremely sonoreflective and exhibited orbital shadowing. In the left eye, one lesion was accompanied by lipid exudates, and subsequent fluorescein angiography disclosed choroidal neovascularization. Medical history included hyperparathyroidism treated with surgical excision of a parathyroid adenoma 27 years earlier.
CONCLUSION
Choroidal neovascularization may be a late complication of hyperparathyroidism.
目的
报告一例继发于甲状旁腺功能亢进症的巩膜脉络膜钙化患者发生脉络膜新生血管形成的情况。
方法
病例报告。对一名74岁女性双眼眼底异常情况进行了荧光素血管造影和超声检查记录。
结果
每只眼睛的眼底均观察到两个黄色、不规则、椭圆形的类脂质性病灶。超声检查显示这些区域回声极强，并伴有眶内声影。左眼的一个病灶伴有脂质渗出，随后的荧光素血管造影显示有脉络膜新生血管形成。病史包括27年前因甲状旁腺腺瘤手术切除而接受治疗的甲状旁腺功能亢进症。
结论
脉络膜新生血管形成可能是甲状旁腺功能亢进症的晚期并发症。
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