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急性胰腺炎视网膜病变(附一例报告) 总被引:2,自引:0,他引:2
报告1例急性胰腺炎患者,患病10天后双眼视力明显减退,眼底后极部视网膜水肿、动脉细,有多数融合的棉絮状斑,并散在少数出血斑.眼底荧光血管造影后发现视网膜小动脉有阻塞.复习急性胰腺炎视网膜病变的文献,并结合病例进行简要讨论.
(中华眼底病杂志,1993,9:176-177) 相似文献
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董永章 《中国实用眼科杂志》1997,15(1):62-62
弓形体性脉络膜视网膜视神经病变新疆独山子医院眼科(833600)董永章眼弓形体病是由弓形体所引起一种人畜共患寄生原虫感染所致的脉络膜视网膜炎,同时合并视神经病变尚未见报告,现报告如下。患者谢××女26岁未婚左眼自幼视力差,因外斜而来院就诊。既往无眼病... 相似文献
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钝挫伤性脉络膜视网膜病变的视网膜电图分析 总被引:3,自引:2,他引:1
目的:利用视网膜电图(ERG)评价挫伤性脉络膜视网膜病变的损伤程度与皮质类固醇治疗效果。方法:回顾分析250例单眼钝挫伤性脉络膜视网膜病变的EGR资料。以伤眼视力分为<0.01、0.1~0.5和>0.53组。结果:暗适应ERGb波波幅是3组之间差异显著的指标。26例经大剂量皮质类固醇治疗2周,69.2%视力明显提高,ERGb波波幅回升。结论:暗适应ERGb波波幅对估计视力预后有重要价值,大剂量皮质类固醇对视力恢复有一定效果。 相似文献
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PURPOSE: To report the long-term follow-up of patients with acute zonal occult outer retinopathy (AZOOR).DESIGN: Observational consecutive case series. METHODS: Prospective and retrospective review of medical records of patients with AZOOR. RESULTS: Fifty-one patients (37 women and 14 men) with a median age of 33 years (mean, age 36 years; range, 13-63 years) were followed for a median of 96 months (mean 100 months; range, 36-420 months). At presentation, AZOOR was present in one eye of 31 patients (61%) and both eyes in 20 patients (39%). All patients presented with an acute loss of one or more zones of visual field, and 45 (88%) patients presented with photopsia. Corrected visual acuity was 20/40 or better in 68 (76%) of 90 affected eyes. Funduscopic examination was normal in 82 eyes and revealed signs of AZOOR in 8 eyes. Electroretinographic amplitudes were depressed in all affected eyes. The median delay in diagnosis of AZOOR was 17 months. During follow-up, AZOOR developed in 19 fellow eyes. At final follow-up AZOOR was present in one eye of 12 (24%) patients and both eyes of 39 (76%) patients. Sixteen patients had 23 recurrences of AZOOR. Visual field loss stabilized within 6 months in 37 patients (72%), progressed stepwise in 2 patients (4%), and partly improved in 12 patients (24%). Fourteen patients (28%) had autoimmune diseases, including Hashimoto's thyroiditis in 6 patients and relapsing transverse myelopathy in 4 patients. At last follow-up all patients had residual visual field defects. Final visual acuity was 20/40 or better in 61 (68%) affected eyes. Nine patients (18%) were legally blind. The fundi of 90 affected eyes revealed no changes of AZOOR in 47 eyes (52%) and changes in the pigment epithelium and retina caused by AZOOR in 43 eyes (48%). CONCLUSIONS: Visual loss in AZOOR is characterized by one or more episodes of acute dysfunction, and in some cases, death of retinal receptor cells in one or more zones of one or both eyes. Central vision is often spared, but recovery of visual field occurs infrequently. The etiology of AZOOR is unknown. Electroretinography is essential for early diagnosis. The value of treatment is uncertain. 相似文献
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PURPOSE: To determine the effect on iris color of discontinuing latanoprost (LP) treatment in a patient with pronounced iris color darkening, and to assess the possible role of sympathetic innervation. METHODS: In a patient demonstrating pronounced iris color darkening in both eyes after treatment with LP for 6 months, magnified iris color photographs were taken at 3- to 6-month intervals for 5 years after discontinuation of LP treatment. Pupillary testing for sympathetic insufficiency was performed with cocaine 10% or hydroxyamphetamine 1%. RESULTS: The iris color did not appreciably change after discontinuing LP. The cocaine-induced increase in pupillary diameter was considerably greater for the control subject than for the patient who demonstrated the LP-induced color change. CONCLUSIONS: Latanoprost-induced iris color darkening does not appreciably change for several years after discontinuing treatment. Some eyes that show LP-induced darkening may have relative ocular sympathetic insufficiency. 相似文献
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A spectrum of retinal features has been recognised in association with incontinentia pigmenti. The majority of reported cases describe a rapidly progressive proliferative retinopathy, often leading to retinal detachment, emphasizing the potentially blinding nature of the disease. In some instances, the retinopathy has been noted to be less severe but follow-up has been short. We describe a young girl with incontinentia pigmenti in whom the retinopathy has shown a fluctuating but stable course over 13 years without treatment. 相似文献
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R S Edwards 《The British journal of ophthalmology》1980,64(9):720-724
Fifty-nine eyes undergoing combined cataract extraction and trabeculectomy were studied. The follow-up period ranged from 6 months to 2 years. The visual outcome and postoperative control of intraocular pressure have been compared in chronic open-angle, chronic closed-angle, and secondary glaucoma. Good results were obtained in both primary open- and closed-angle glaucoma, but not in secondary glaucoma. 相似文献
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