冠状腺新血管化在多个 evanescent 白点综合征的解决后,二次刺穿内侧冠状腺病变:一个病例报告
Jie Bai1, Zhicheng Li1, Yanze Li1
1Department of Ophthalmology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, PR China.
Medicine
|March 6, 2026
概括
多重 evanescent 白点综合征 (MEWDS) 和点状内胆管病变 (PIC) 可以顺序发生. 用皮质类固醇和抗VEGF治疗的治疗解决了PIC次要的胆道新血管化 (CNV),表明共享的发病因子.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 炎症性眼睛疾病 炎症性眼睛疾病
背景情况:
- 白点综合征,包括MEWDS和PIC,是不同的炎症状况.
- 单眼中MEWDS和PIC的连续发生或共存是罕见的.
- 在MEWDS之后的PIC中继的胆管新血管化 (CNV) 之前没有报告.
研究的目的:
- 报告同一眼中的连续MEWDS和PIC病例.
- 在MEWDS决议之后,描述PIC次要的CNV的发展.
- 为了补充关于这些顺序性疾病的发病和治疗的临床证据.
主要方法:
- 一名42岁的女性出现了连续的视觉障碍.
- 诊断MEWDS,其次是PIC,随后是PIC次要的CNV是使用多式成像来确定的.
- 治疗涉及PIC的口服皮质类固醇和CNV的静脉内抗VEGF治疗.
主要成果:
- 患者在治疗后获得了20/20的最佳校正视敏度.
- 性出血消失了,OCT证实了CNV的完全消失.
- 在2年的随访期间,没有观察到PIC或CNV的复发.
结论:
- MEWDS和PIC可能有共同的病因因素和病原机制.
- 在MEWDS之后,PIC可以顺序发展,可能导致CNV.
- 联合皮质类固醇和抗VEGF治疗为顺序性MEWDS,PIC和二次性CNV提供了有利的长期结果.
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