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1
題名:STEROID-INDUCED CENTRAL SEROUS CHORIORETINOPATHY IN THE FELLOW EYE DURING THE THERAPEUTIC COURSE OF ACUTE RETINAL NECROSIS--A CASE REPORT     (12點)
類固醇治療急性視網膜壞死誘發另一眼中心性漿液性脈絡膜視網膜症--病例報告
著者:Tai-Chi Lin(林泰祺) ;An-Fei Li(李安斐) ;Yu-Chi Liu(劉郁琦) ;Shui-Mei Lee(李淑美)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:acute retinal necrosis (ARN) ; central serous chorioretinopathy (CSCR) ; corticosteroid
刊名:中華民國眼科醫學會雜誌
卷期:50卷1期(2011.4)
頁碼:93-98
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一因使用類固醇治療急性視網膜壞死,而誘發男一眼中心性漿液性脈絡膜視網膜症的病伊卜 方法:病例報告。 結果:一位38歲男性主訴左眼視力模糊及看到飛蚊達兩個星期之久而前來眼科門診求診。當時左眼的最佳矯正視力為6/鉤,裂隙燈下可見前葡萄膜炎及角膜內皮羊脂狀沉積。眼底轍查發現玻璃體炎、周邊的視網膜有白化壞死合併血管阻塞。給予全身性抗病毒藥物Ac ycl o v i r 及大量的類固醇治療後, 壞死的視網膜區域大為減少且眼睛的發炎獲得改善。最佳矯正視力也回復到6/5 。然而,在治療的過程中男一眼出現中心性漿液性脈絡膜視網膜症,於是又進一步安排右眼的雷射光凝固治療。 結論:使用全身性類固醇治療急性視網膜壞死的過程中, 可能會誘發男一眼中心性漿液性脈絡膜視網膜症。因此在治療時我們需要密切追蹤另一眼, 除了可能繼發的另一眼急性視網膜壞死外,也必須注意其他可能的視網膜病變,譬如:中心性漿液性脈絡膜視網膜症。
Purpose: To report a case of steroid-induced central serous chorioretinopathy (CSCR) in the fellow eye during the course of acute retinal necrosis (ARN). Method: Interventional case report Results: A 38-year-old male came to our clinics for blurred vision and visual floaters of the left eye for 2 weeks. The best corrected visual acuity (BCVA) was 6/20 in the left eye. Slit lamp biomicroscope finding showed anterior uveitis with mutton-fat keratic precipitates. Fundoscopy disclosed vitritis, retinal whitening with necrosis in the periphery and vascular occlusion. After systemic acyclovir and corticosteroid treatments, necrotic retina resolved as well as ocular inflammation. The BCVA improved to 6/5. However, CSCR was noted in the right eye 5 weeks after steroid treatment. The patient received further focal photocoagulation in his fellow eye. Conclusion : CSCR could occur in the fellow eye during the therapeutic course of ARN due to steroid administration. The fellow eye should be carefully examined not only for subsequent involvement of ARN, but also for the possibility of other types of retinopathy, such as CSCR.


    

本卷期目次
中華民國眼科醫學會雜誌 50卷1期 (2011.4)
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ISOLATED ORBITAL NEUROFIBROMA: CLINICAL PRESENTATION AND DIFFERENTIAL DIAGNOSIS/ Kai-Chun ChengKuo-Jen ChenCheng-Hsien Chang
FREE-FLOATING POSTERIOR VITREOUS CYST-REPORT OF A CASE/ Chun-Chieh LaiYi-Sheng ChangSung-Huei Tseng
PANUVEITIS AS THE INITIAL MANIFESTATION OF SYPHILIS WITH CONCURRENT HIV INFECTION/ Nancy ChenRang Kung TsaiMin-Muh Sheu
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