CLINICAL CASE OF SEVERE INTENSIFICATION OF BLOOD FLOW IN THE CONJUNCTIVA OF THE EYEBALL ONE DAY PRIOR TO THE ONSET OF INTERMEDIATE UVEITIS

Number 1 Pub Date : 2021-03-12 DOI:10.30546/2788-516x.2021.2.1.10

Rasim. V.Hajiyev

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Abstract

Purpose: A clinical case is presented of posterior uveitis inapatientwhoreceivedasubconjunctivalinjectionofKenalog. This finding was revealed during the course of adailyassessmentofconjunctivalmicrovascularhemodynamics.Methods:Slitlampbiomicroscopyoftheconjunctivalmicrovasculaturewasperformedbeforeandaftertheemergenceofintermediateuveitisina28-year-oldman.Result: A case of acute vision loss and the occurrence ofintermediate uveitis of the right eye is described in a patientwhopreviouslyreceivedKenalogadministeredsubconjunctivally to treat mild anterior uveitis, which waswithoutvisualimpairment.Dailymonitoringoftheconjunctival microvasculature revealed that the blood flowrate of the right eye considerably increased after Kenalogadministrationthedaybeforepatientvisiondeterioratedand posterioruveitiswithopacityofthevitreousbodyoccurred.The extent of the pronounced intensification ofblood flow wassurprising.Conclusion:The emergence ofacute intermediate uveitisfollowing Kenalog administration was preceded by a severeincrease in bloodcirculation in theconjunctivalvesselsofthe eye, which decreased one day after a severe decrease invisualacuity. It is suggested that this increase in blood flowprecedingpathologymaybeacharacteristicofanyinflammatoryprocessthatoccursinthehumanbody

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中期葡萄膜炎发病前1天眼球结膜血流严重强化的临床病例

目的:报告一例术后葡萄膜炎患者在结膜下注射凯纳乐。这一发现是在结膜微血管血流动力学的日常评估过程中发现的。方法:对一名28岁的男性结膜微血管在出现中间静脉炎之前和之后进行了细缝灯生物显微镜检查。结果:报告1例右眼急性视力丧失并发生中度葡萄膜炎的病例，该患者曾接受克纳洛结膜下治疗轻度前葡萄膜炎，未见视力损害。对结膜微血管的日常监测显示，在患者视力恶化和玻璃体混浊的后晶状体炎发生前一天给药后，右眼的血流量明显增加。血流明显增强的程度令人惊讶。结论:Kenalog给药后出现急性中间葡萄膜炎，在此之前眼睛结膜血管的血液循环严重增加，在视力严重下降1天后血液循环减少。这表明，这种病理前的血流量增加可能与发生在人体中的任何炎症过程具有特征

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