一只眼睛的全频谱精神病症表现:一个案例报告
Jeffrey DeWitt Warner1, Anusha Tuli2, Daniel D Zhang3
1Department of Ophthalmology, UNMC Truhlsen Eye Institute, Omaha, NE, USA.
Case reports in ophthalmology
|December 8, 2025
概括
这种罕见的案例研究在一只眼睛中同时呈现了四个阶段的帕奇科罗伊德谱 - - 帕奇科罗伊德色素表皮病 (PPE),中枢血清性胆色素病 (CSC),帕奇科罗伊德新血管病 (PNV) 和多重性胆色血管病 (PCV).
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 冠状腺疾病 冠状腺疾病
背景情况:
- 帕奇科罗伊德谱包括胆管关节疾病,包括PPE,PNV,PCV和CSC.
- 这些情况被认为代表单一疾病过程的连续阶段.
- 该频谱范围从早期的RPE变化到先进的新血管化和动脉瘤扩张.
研究的目的:
- 报告一个罕见的病例,同时呈现了四个阶段的pachychoroid频谱.
- 为了突出单个受影响的眼睛内的独特形态特征.
主要方法:
- 一个85岁的男性的病例介绍,在左眼有1个月的视力障碍史.
- 眼科检查显示了PPE,CSC,PNV和PCV的并发病变.
- 用抗VEGF注射和焦点激光疗法进行治疗.
主要成果:
- 在一个单一的眼睛中同时观察四个帕奇科罗伊德光谱阶段,节省眼.
- 这位患者出现了 CNV,上腺出血,RPE 缺陷,结果与 CSC 和 PCV 一致.
- 结合治疗2年后病变稳定.
结论:
- 帕奇科罗伊德谱系是与年龄相关的黄斑变性不同的实体,发病速度较慢,初始治疗反应更好.
- 像焦点激光和光动力学疗法这样的疗法可能是必要的.
- 频谱代表了一个独特的病理过程,具有不同的形态表现.
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