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題名:RETINAL VASCULITIS FOLLOWING CORNEAL PENETRATING INJURY--A CASE REPORT     (8點)
角膜穿刺傷後引起視網膜血管炎--病例報告
著者:Pei-Hsuan Lin(林佩璇) ;Nan-Kai Wang(王南凱) ;Kuan-Jen Chen(陳冠任) ;Keng-Kuo Lin(林耕國) ;Lung-Kun, Yeh(葉龍坤)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Endophthalmitis ; hypopyon ; vasculitis
刊名:中華民國眼科醫學會雜誌
卷期:48卷4期(2009.12)
頁碼:540-543
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一例小孩角膜穿刺傷後造成視網膜血 管炎的病例報告。 方法: 病例報告。 結果: 一個九歲健康的男孩,左眼角膜遭圓規刺 穿後,角膜穿刺破裂且有房水持續流出但前房並未塌 陷,也沒有外傷性白內障或玻璃體膨出。斷層掃瞄顯 示並無眼內異物。經角膜修補後旋即出現前房積朧的 現象,懷疑為感染性眼內炎。除了抽取前房液做細菌 培養外,並以均鹽溶液及抗生素沖洗,並開始使用局 部抗生素治療。但前房積膜只有輕微改善, 細菌培養結果並未培養出細菌生成。眼底檢查出現血管邊緣模 糊,眼底螢光檢查發現血管滲漏。因此診斷為血管 炎,並開始使用類固醇治療。一週後,前房積膜消失, 且眼底恢復正常。追蹤六個月,視力恢復正常並無其 他併發症。 結論:外傷性眼內炎在小孩很少見,但卻可能因 外傷造成感染性或非感染性之眼內炎引起之發炎反 應導致發炎性血管炎。因此鑑別診斷二者之差異及早 期給予適合之治療,對視力之恢復是很重要的。
Purpose: To report a case of retinal vasculitis after a cornea penetrating Injury. Methods: Case repo凡 Result: A 9-year-old boy who denied any systemic disease and ocular disorder except myopia (OU: -2.0D) was brought to our emergency department due to left eye stabbing injury by a dividers. Visual acuity was 20/200 (OU). Ocular examination showed corneal perforation with a positive Seidel test. There was no traumatic cataract and anterior chamber was formed. An orbital CT scan revealed no intraocular foreign body and normal eyeball contour. Unfortunately, the phenomenon of increased inflammatory reaction in the anterior chamber was noted and hypopyon developed within 18 hours after the primary repair surgery. Although the B-scan result showed no obvious media opacity in the vitreous cavity, fundus examination revealed peripheral vitreous opacity and sheathing retinal vessels. Fundus fluorescein angiography showed fluorescein leakage along the vessels. The anterior chamber aqueous was tapped for culture and irrigated with sterile balanced salt solution. Antibiotics were given by intracameral injection under suspicion of infection. The culture results disclosed negative findings. Hypopyon was resolved and the anterior chamber reaction subsided within two weeks. His best corrected vision was 20/20 (OS) after a 6 months follow- up. Conclusion: Retinal vasculitis in children which occurs following corneal penetrating injury is very rare. The prognosis can be quite good with appropriate management.


    

本卷期目次
中華民國眼科醫學會雜誌 48卷4期 (2009.12)
青光眼手術及最新發展/ 呂大文陳怡豪
青光眼藥物治療的現狀與趨勢/ 吳國揚
透視青光眼檢查之雙面觀/ 陳瑛瑛
非動脈炎前缺血性視神經病變(NA-AION)的治療新趨勢/ 蔡榮坤
頸動脈海綿竇瘻管的新治療發展/ 王安國
青光眼臨床試驗之臨床應用:高眼壓症治療臨床試驗及正常眼壓性青光眼臨床試驗/ 張雪麗郭雅慧
視覺路徑病變之診斷定位/ 王安國
視神經退化疾病的神經保護治療/ 蔡榮坤
青光眼視神經病變的鑑別診斷/ 王清泓
MULTIFOCAL LENSES/ Hui-Chun LaiKen-Kuo LinWei-Chieh ChiuChiun-Ho HouJiahn-Shing LeeHan-Chih Cheng
白內障手術前後角膜生物力學之比較/ 徐文錦曾佳慧何一滔林思源林素玲
PERIOCULAR INFLAMMATION ASSOCIATED WITH ALENDRONATE THERAPY: A CASE REPORT AND REVIEW/ Yu-Ying ChangYi-Chun ChenI-Chia LiangChun-Chang LinShun-Ling Lin
CENTRAL RETINALARTERY OCCLUSION IN A YOUNG MALE: A CASE REPORT/ Hsiao-Cheng LinJen-Hua HsuChing-Yao TsaiShiow-Wen Liou
RETINAL VASCULITIS FOLLOWING CORNEAL PENETRATING INJURY--A CASE REPORT/ Pei-Hsuan LinNan-Kai WangKuan-Jen ChenKeng-Kuo LinLung-Kun, Yeh
SPONTANEOUS SEPARATION OF ACUTE MACULAR PUCKER AFTER RETINAL PHOTOCOAGULATION FOR PERIPHERAL RETINAL DEGENERATION--DOCUMENTED BY OPTICAL COHERENCE TOMOGRAPHY/ Hsi-Kung KuoChun-Chia SuChih-Hsin ChenTien-En Huang
DELAYED ASPERGILLUS VERSICOLOR INFECTION AFTER LASER IN SITU KERATOMILEUSIS--A CASE REPORT/ Pei-Chen WuPei-Yin HsuehLi-Ju Lai
CHOROIDAL REACTIVE LYMPHOID HYPERPLASIA--A CASE REPORT/ Yan-Ting ChenSan-Ni Chen
SUCCESSFUL TRABECULECTOMY FOR CHILDHOOD GLAUCOMA ASSOCIATED WITH ATYPICAL STURGE-WEBER SYNDROME AND TURNER'S SYNDROME/ Hsin-Yu YaoDa-Wen LuYen-Shou ChouJiann-Tong Chen
CRYSTALLINE KERATOPATHY CAUSED BY ALOCASIA MACRORRHIZA RELATED TRAUMA/ Yi-Hao HoYi-Yu TsaiChun-Chi Chiang
MIDLINE FOREHEAD FLAP FOR COVERAGE OF EXPOSED EXENTERATED ORBITAL WALLAFTER RADIOTHERAPY/ Ning-Chia WangYueh-Ju TsaiFu-Rung YangLih Ma
PRIMARY USE OF PNEUMATIC RETINOPEXY IN MANAGING OF RETINAL DETACHMENT CAUSED BY OCULAR PERFORATION AFTER RETROBULBAR ANESTHESIA--CASE REPORT/ Chun-Ju LinChong-Bin TsaiJiunn-Feng HwangSan-Ni Chen
 
   
 
   

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