非典型的中央血清性胆色素变异症伪装成Vogt-Koyanagi-Harada疾病:一个病例报告
Munevver Duran1, David Shieh1, Preston Choi1
1Department of Ophthalmology, UT Southwestern Medical Center, Dallas, TX, USA.
Case reports in ophthalmology
|July 17, 2024
概括
中央血清性视网膜病变 (CSR) 可以模仿Vogt-Koyanagi-Harada (VKH) 疾病,从而构成诊断挑战. 没有使用类固醇的保守方法导致改善,支持CSR诊断.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
背景情况:
- 中枢血清性视网膜病变 (CSR) 和Vogt-Koyanagi-Harada (VKH) 疾病具有重叠的临床特征.
- 诊断挑战来自CSR的非典型表现,模仿其他炎症状况.
研究的目的:
- 描述中央血清性视网膜病变 (CSR) 的具有挑战性的临床表现.
- 突出可能导致CSR和VKH疾病之间诊断困境的特征.
- 强调在怀疑CSR时避免不必要的类固醇治疗的重要性.
主要方法:
- 一个30岁的男性双边视力丧失的案例报告.
- 临床检查和光学连贯性断层扫描 (OCT) 用于诊断.
- 观察患者对保守的治疗方法的反应.
主要成果:
- 患者出现了双侧血清性视网膜脱落,细菌层脱落,头痛和耳.
- 发现包括白色底部斑点和视网膜血管泄漏,不典型但在CSR中描述.
- 患者在使用非类固醇,保守的治疗计划后显著改善.
结论:
- CSR可以呈现模仿VKH疾病的特征,需要高度的怀疑指数.
- 避免使用类固醇治疗对于预防错误诊断为VKH的病例中阳性恶化至关重要.
- 对于具有诊断不确定性的企业社会责任,保守的管理可能是有效的.
相关概念视频
Glaucoma: Overview
536
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
536
Open Angle Glaucoma: Treatment
422
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
422
Photoreceptors and Visual Pathways
6.0K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.0K
Angle Closure Glaucoma: Treatment
468
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
468


