三例急性视网膜坏死伴非典型眼底检查结果。

Q3 Medicine Retinal Cases and Brief Reports Pub Date : 2024-05-01 Epub Date: 2024-04-18 DOI:10.1097/ICB.0000000000001379
Shinichiro Chujo, Hisashi Matsubara, Atsushi Ichio, Yoshitsugu Matsui, Masahiko Sugimoto, Mineo Kondo
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引用次数: 0

摘要

目的:确定急性视网膜坏死(ARN)患者沿视网膜血管发生节段性颗粒病变的机制:这是对3名被诊断为ARN患者的3只眼睛的病历进行的回顾性分析,这些患者的视网膜血管沿线出现了不典型的节段性颗粒病变:节段性颗粒病变出现在整个视网膜的视网膜动脉和静脉上。光学相干断层扫描(OCT)显示,颗粒状病变突入玻璃体腔。组织病理学检查证实,病变由淋巴细胞组成:我们认为,颗粒性病变的形成机制与 HTLV-1 相关性葡萄膜炎(HAU)相似。我们还发现,玻璃体切除术后,颗粒状病变很快就消失了。
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THREE CASES OF ACUTE RETINAL NECROSIS WITH ATYPICAL FUNDUS FINDINGS.

Purpose: To determine the mechanism for the development of segmental granular lesions along the retinal vessels in eyes with acute retinal necrosis.

Method: This was a retrospective analysis of the medical records of three eyes of three patients who were diagnosed with acute retinal necrosis that had atypical segmental granular lesions aligned along the retinal vessels.

Results: The segmental granular lesions were present on the retinal arteries and veins throughout the retina. Optical coherence tomography showed that the granular lesions protruded into the vitreous cavity. Histopathologic examinations confirmed that the lesions were made up of lymphocytes.

Conclusion: We suggest that the granular lesions were formed by a mechanism similar to that of HTLV-1-associated uveitis. We also found that the granular lesions disappeared soon after vitrectomy.

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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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