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題名:以虹膜囊腫表現的眼內結核病-病例報告     (12點)
INTRAOCULAR TUBERCULOSIS MANIFESTATED BY IRIS TUMOR--A CASE REPORT
著者:何堯森(Yau-Sen Ho) ;李鳳利(Fenq-Lih Lee) ;劉榮宏(Jorn-Hon Liu)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Ocular Tuberculosis ; Iris tumor ; PCR ; AIDS
刊名:中華民國眼科醫學會雜誌
卷期:39卷4期(2000.12)
頁碼:577-582
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

結核桿菌侵犯至眼內及眼部附屬組織,在開發中及已開發國家並不多見;而在虹膜上以囊腫表現更為罕見。本文提出一男性病患接受白內障術後,視力未見改善,並在二個月後發現虹膜有一明顯肉色囊腫。此虹膜囊腫經病理切片證實為結核桿菌感染,且由病患血液經PCR (Polymerase Chain Reaction)檢測得陽性結核桿菌反應,雙重確定病患感染結核病。
A 37-year-old male with a huge fleshy iris tumor of his left eye was noted just two months after cataract surgery. We arranged a series of examinations which include chext X-ray, brain CT, and tumor marker to rule out malignancy metastasis. Excisional biopsy were performed, the pathology revealed multiple acid-fast bacilli. Since patient's chest X-ray and clinical picture were not compatable with pulmonary TB, we sent the patient's blood to the laboratory for PCR analysis. Polymerase chain reaction for Mycobacterium tuberculosis was positive. This is an intraocular tuberculosis case confirmed by pathological finding and PCR detection. To justified tuberculosis as an etiologic factor in ocular disease is a very perplexing problem. This can be attributed to several factor: difficulty in demonstrating bacilli in either aqueous or vitreous aspirates, pleomorphic manifestations and similarity to other ocular inflammation. In our knowledge, since 1890 to 1994 there were only 23 cases of Intraocular tuberculosis which had microbiological evidences. We are reporting this case and summaring the intraocular tuberculosis clinical pictures, pathogenesis, diagnosis method and management.


    

本卷期目次
中華民國眼科醫學會雜誌 39卷4期 (2000.12)
青光眼的新觀念/ 王清泓
網膜神經纖維層檢查在青光眼的應用/ 謝瑞玟
視野檢查之最新趨勢/ 陳瑛瑛
在世紀轉折點之青光眼藥物治療/ 劉瑞玲
Medical Treatment of Glaucoma, Update/ 鄧美琴
無穿透青光眼濾過性手術/ 古婉珍
青光眼手術之新趨勢/ 呂大文
THE RISK OF BLINDNESS FROM GLAUCOMA/ Ching-Sheng HsiaoShami Shi-Huang Lee
DACRYOCYSTITIS: MICROBIOLOGY AND DRUG SUSCEPTIBILITY/ Pei-Ching DingCheng-Hsien ChangMin-Yang SuChien-Fang Peng
EXCIMER LASER PHOTOREFRACTIVE KERATECTOMY FOR THE TREATMENT OF MYOPIA--A PRELIMINARY STUDY/ Yuan-Tzer ChangChong-Bin TsaiChau-Yi TanKuo-Bin Chang
國小學童眼球生長狀況之初報:基隆安樂社區眼位及視力調查/ 宋湖仙史麗珠李建興董曉青
小樑切除術對彩色角膜曲度攝影的影響/ 沈雋雁謝瑞玟
結膜下注射Mitomycin-C對於絕對性青光眼的長期結果與合併症-五病例報告/ 林蓓雯賴盈州鄧美琴蔡振嘉
0.5%TIMOPTOL-XER對正使用0.5%TimoptolR之青光眼或高眼壓症病人取代性之比較/ 陳柏良呂大文周秉義
淡水馬偕護校學生眼屈光狀態--縱系列研究/ 林新智謝瑞玟
兩側大腦性眼瞼下垂續發於同胱氨酸尿症-病例報告/ 張元澤周介仁翁林仲陳慕師
視網膜海綿狀血管瘤--病例報告/ 陳祖永黃峻峰陳柏宏
早期復發之後天性眼部弓漿蟲病--病例報告/ 劉秀雯賴威廷王倫奕
巨細胞病毒視網膜炎-病例報告/ 丁珮卿鄭淑珠吳文權
孩童的後鞏膜炎--壹病例報告/ 陳韻如
脈絡膜黑色素細胞瘤合併晶體移位和前房出血病例報告/ 吳秀琛陳以晟
以虹膜囊腫表現的眼內結核病-病例報告/ 何堯森李鳳利劉榮宏
高爾夫球引起眼部運動傷害之病例報告/ 沈素琴陳珊霓吳秀琛
 
   
 
   

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