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多灶性脉络膜炎合并全葡萄膜炎伴黄斑区新生血管1例
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- Author:
- No author available
- Journal Title:
- Journal of Military Surgeon in in Southwest China
- Issue:
- 4
- DOI:
- 10.3969/j.issn.1672-7193.2021.04-06.079
- Key Word:
- 多灶性脉络膜炎;新生血管;糖皮质激素;病例报告
Abstract： 1 临床资料患者女,26岁.因双眼视力下降及中心暗区3月,2017年6月12日来我院就诊.否认既往眼部病史及相关家族病史,全身检查无明显异常.眼部专科检查:右眼矫正视力0.5,左眼矫正视力0.8,右眼Tyn(+)、KP(+),双眼眼底可见后极部及周边部散在的圆形或卵圆形淡黄色病灶(见图1A、1D);OCT检查发现双眼病变区RPE及脉络膜团块状高反射凸起信号,其下的锥形或穹窿样病变呈低反射信号,(见图1B、1E);FFA可见后极部及周边部大量散在的大小不等的点状、圆形或卵圆形低荧光,边缘环绕高荧光;ICGA可见对应区域荧光遮蔽,黄斑部高荧光(见图1C、1F),视野检查发现双眼中心暗点.ERG检查提示双眼各项反应振幅较正常轻度下降.临床诊断:①双眼多灶性脉络膜炎合并全葡萄膜炎;②双眼黄斑区脉络膜新生血管.
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