Int Med Case Rep J:玻璃体切除术后伴有息肉状脉络膜血管病继发的视网膜下出血而引起的交感眼炎病例

2018-12-12 MedSci MedSci原创

日本静冈市滨松市Jyuzen Kinen医院眼科的Suetsugu T等人近日在Int Med Case Rep J杂志上发表了一篇文章,报告了一例患者在玻璃体切除手术后出现息肉状脉络膜血管病,引起视网膜下出血,并最终导致交感性眼炎。

日本静冈市滨松市Jyuzen Kinen医院眼科的Suetsugu T等人近日在Int Med Case Rep J杂志上发表了一篇文章,报告了一例患者在玻璃体切除手术后出现息肉状脉络膜血管病,引起视网膜下出血,并最终导致交感性眼炎。

该患者是一名60岁的男性,在患者向医生寻求治疗左眼视网膜下出血时,发现存在息肉状脉络膜血管病变。再次进行睫状体玻璃体切除手术,但仍难以对大量视网膜下出血复发进行治愈,最终导致眼球萎缩。两个月后,右眼观察到多个浆液性视网膜脱离。白细胞抗原-DR4呈阳性和葡萄膜炎,而这可以区分交感性眼炎和年龄相关性黄斑变性。在进行高剂量脉冲静脉注射类固醇药物治疗后,视网膜脱离后的视力得到一定程度的恢复。

原文出处:

Suetsugu, T., et al., Sympathetic ophthalmia in fellow eye after vitrectomy for massive subretinal hemorrhage secondary to polypoidal choroidal vasculopathy. Int Med Case Rep J, 2018. 11: p. 293-296.

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topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Mon Dec 31 19:57:00 CST 2018, time=2018-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1801532, encodeId=68131801532c2, content=<a href='/topic/show?id=1ab990e3464' target=_blank style='color:#2F92EE;'>#视网膜下出血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90734, encryptionId=1ab990e3464, topicName=视网膜下出血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Tue Sep 24 16:57:00 CST 2019, time=2019-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1687024, encodeId=9f47168e02468, content=<a href='/topic/show?id=5f688449023' target=_blank style='color:#2F92EE;'>#脉络膜#</a>, beContent=null, objectType=article, channel=null, level=null, 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createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Thu Jun 27 02:57:00 CST 2019, time=2019-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1270149, encodeId=a8e112e01494f, content=<a href='/topic/show?id=979690e33bd' target=_blank style='color:#2F92EE;'>#视网膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90733, encryptionId=979690e33bd, topicName=视网膜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=742793, createdName=zutt, createdTime=Fri Dec 14 13:57:00 CST 2018, time=2018-12-14, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=2019846, encodeId=2dc92019846d0, content=<a href='/topic/show?id=6411844985a' target=_blank style='color:#2F92EE;'>#脉络膜血管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84498, encryptionId=6411844985a, topicName=脉络膜血管)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/6F20312C71B4B22F603078C6DCFA72CE/100, createdBy=d3572500071, createdName=ms306040998833292, createdTime=Sat Apr 06 17:57:00 CST 2019, time=2019-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877098, encodeId=dec518e70981a, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Mon Dec 31 19:57:00 CST 2018, time=2018-12-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1801532, encodeId=68131801532c2, content=<a href='/topic/show?id=1ab990e3464' target=_blank style='color:#2F92EE;'>#视网膜下出血#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90734, encryptionId=1ab990e3464, topicName=视网膜下出血)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Tue Sep 24 16:57:00 CST 2019, time=2019-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1687024, encodeId=9f47168e02468, content=<a href='/topic/show?id=5f688449023' target=_blank style='color:#2F92EE;'>#脉络膜#</a>, beContent=null, objectType=article, channel=null, level=null, 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href='/topic/show?id=72072434e2d' target=_blank style='color:#2F92EE;'>#交感眼炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24347, encryptionId=72072434e2d, topicName=交感眼炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=640c454, createdName=qblt, createdTime=Sat Feb 09 16:57:00 CST 2019, time=2019-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1724479, encodeId=500b1e244791f, content=<a href='/topic/show?id=78ece8958b2' target=_blank style='color:#2F92EE;'>#继发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78958, encryptionId=78ece8958b2, topicName=继发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=499d33645837, createdName=feifers, createdTime=Wed Apr 10 22:57:00 CST 2019, time=2019-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1976121, encodeId=a2ea19e612193, content=<a href='/topic/show?id=884668595d2' target=_blank style='color:#2F92EE;'>#玻璃体切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68595, encryptionId=884668595d2, topicName=玻璃体切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68b666, createdName=zhangying8788, createdTime=Wed Feb 13 07:57:00 CST 2019, time=2019-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1644718, encodeId=91001644e18b6, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Thu Jun 27 02:57:00 CST 2019, time=2019-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1270149, encodeId=a8e112e01494f, content=<a href='/topic/show?id=979690e33bd' target=_blank style='color:#2F92EE;'>#视网膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90733, encryptionId=979690e33bd, topicName=视网膜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=742793, createdName=zutt, createdTime=Fri Dec 14 13:57:00 CST 2018, time=2018-12-14, status=1, ipAttribution=)]
    2019-05-07 charl1234567
  6. [GetPortalCommentsPageByObjectIdResponse(id=2019846, encodeId=2dc92019846d0, content=<a href='/topic/show?id=6411844985a' target=_blank style='color:#2F92EE;'>#脉络膜血管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84498, encryptionId=6411844985a, topicName=脉络膜血管)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/6F20312C71B4B22F603078C6DCFA72CE/100, createdBy=d3572500071, createdName=ms306040998833292, createdTime=Sat Apr 06 17:57:00 CST 2019, time=2019-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877098, encodeId=dec518e70981a, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1976121, encodeId=a2ea19e612193, content=<a href='/topic/show?id=884668595d2' target=_blank style='color:#2F92EE;'>#玻璃体切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68595, encryptionId=884668595d2, topicName=玻璃体切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68b666, createdName=zhangying8788, createdTime=Wed Feb 13 07:57:00 CST 2019, time=2019-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1644718, encodeId=91001644e18b6, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Thu Jun 27 02:57:00 CST 2019, time=2019-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1270149, encodeId=a8e112e01494f, content=<a href='/topic/show?id=979690e33bd' target=_blank style='color:#2F92EE;'>#视网膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90733, encryptionId=979690e33bd, topicName=视网膜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=742793, createdName=zutt, createdTime=Fri Dec 14 13:57:00 CST 2018, time=2018-12-14, status=1, ipAttribution=)]
    2019-02-09 qblt
  7. 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    2019-04-10 feifers
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    2018-12-14 zutt

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美国宾夕法尼亚德雷克塞尔大学医学院眼科的Weiss SJ近日在Retina发表了一篇文章,他们研究了接受术中结膜下抗生素治疗的眼睛与没有接受治疗的眼睛,在平板玻璃体切除术(PPV)后患急性感染性眼内炎的发生概率。

Med Sci Monit:睫状环切口联合改良的玻璃体切除术治疗恶性青光眼的临床观察

苏州大学附属无锡第九人民医院眼科的Yu J等近日在Med Sci Monit发表了一篇文章,他们结合睫状环切口,部分改良了玻璃体切除术,并评估了这种方法对治疗恶性青光眼的临床疗效。

Retina:25-GAUGE 玻璃体切除术术后低眼压发生率和危险因素研究

以色列Rambam医疗保健园区眼科的Mimouni M等人近日在Retina杂志上发表一篇文章。在非扩张性内膜情况下进行睫状体玻璃体切除术易引起低眼压症状,而这项研究的目的是评估25-gauge对术后早期低眼压的影响,评估其发生率和危险因素。

Eur J Ophthalmol:玻璃体切除术是儿科复发性葡萄膜炎的抗炎治疗的有效手段!

布拉格查尔斯大学第二医学院眼科系和捷克共和国布拉格莫托大学医院眼科的Darsová D近日在Eur J Ophthalmol发表了他们团队近期的一项工作,他们研究了玻璃体切除术(PPV)作为儿科复发性葡萄膜炎的抗炎治疗的疗效。