并非所有病症都是缺血性视神经病变

IF 5.1 2区 医学 Q1 OPHTHALMOLOGY
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引用次数: 0

摘要

一名 71 岁的妇女左眼突然出现疼痛性视力下降,并伴有进行性不稳定。初步检查发现左眼视盘水肿,黄斑光学相干断层扫描证实存在视网膜内和视网膜下积液以及视网膜色素上皮下的高反射物质。随后的检查,包括脑磁共振成像和全面的血清学分析,排除了感染和自身免疫原因,使诊断结果更加复杂。患者的双眼视力持续恶化,需要接受皮质类固醇治疗。在视力得到改善的同时,患者的神经系统症状却出现了意想不到的恶化。最终,脑活检结果与弥漫大B细胞淋巴瘤一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Not everything is ischemic optic neuropathy

A 71-year-old woman developed sudden, painful, decreased vision in the left eye accompanied by progressive instability. Initial examination revealed left optic disc edema, and macular optical coherence tomography confirmed the presence of intraretinal and subretinal fluid, as well as hyperreflective material under the retinal pigment epithelium. Subsequent investigations, including brain magnetic resonance imaging and a comprehensive serological analysis, ruled out infectious and autoimmune causes, further complicating the diagnostic picture. The patient's vision in both eyes continued to deteriorate, prompting empirical corticosteroid treatment. While the vision improved, the case took an unexpected turn with worsening neurological symptoms. Ultimately a brain biopsy was consistent with diffuse large B-cell lymphoma.

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来源期刊
Survey of ophthalmology
Survey of ophthalmology 医学-眼科学
CiteScore
10.30
自引率
2.00%
发文量
138
审稿时长
14.8 weeks
期刊介绍: Survey of Ophthalmology is a clinically oriented review journal designed to keep ophthalmologists up to date. Comprehensive major review articles, written by experts and stringently refereed, integrate the literature on subjects selected for their clinical importance. Survey also includes feature articles, section reviews, book reviews, and abstracts.
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