同时双侧炎性脉络膜新生血管愈合一例蛇形样脉络膜炎。

GMS ophthalmology cases Pub Date : 2022-05-20 eCollection Date: 2022-01-01 DOI:10.3205/oc000199
Gitanjli Sood, Ramanuj Samanta, Devesh Kumawat, Prateek Nishant
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引用次数: 0

摘要

目的:炎症性脉络膜新生血管(i-CNV)是后葡萄膜炎的一种少见但威胁视力的并发症。虽然它可以发生在广泛的感染性和非感染性血管,但同时存在双侧i-CNV是罕见的。在这个报告中,我们提出了一个独特的病例双侧同时i-CNV在愈合的结核蛇形样脉络膜炎的年轻患者。方法:男性,20岁,近期右眼视力恶化1个月。眼底检查显示双侧多灶性已愈合的脉络膜炎病变伴右眼小的中央凹下出血,怀疑有脉络膜新生血管。眼底荧光素血管造影和光学相干断层扫描证实双眼存在脉络膜新生血管膜。结果:双侧序贯玻璃体内注射贝伐单抗后,双侧眼球活动消退。结论:结核性蛇形样脉络膜炎愈合后可出现炎性脉络膜新生血管。同时双侧表现是罕见的,但可能的,需要在高怀疑指数下强制双眼多模态成像。在这种情况下,早期应用抗血管内皮生长因子可能挽救最佳视力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis.

Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis.

Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis.

Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis.

Objective: Inflammatory choroidal neovascularization (i-CNV) is an infrequent but sight-threatening complication of posterior uveitis. Although it can occur in a wide range of infectious and non-infectious uveitides, presence of simultaneous bilateral i-CNV is rare. In this report, we present a unique case of bilateral simultaneous i-CNV in a young patient of healed tubercular serpiginous-like choroiditis.

Method: A 20-year-old male presented with recent worsening of vision in the right eye for one month. Fundus examination revealed bilateral multifocal healed choroiditis lesions with right eye tiny subfoveal hemorrhage raising the suspicion of an underlying choroidal neovascularization. Fundus fluorescein angiography and optical coherence tomography confirmed presence of choroidal neovascular membrane in both eyes.

Result: Resolution of activity was noted in both eyes after bilateral sequential intravitreal bevacizumab injections.

Conclusion: Inflammatory choroidal neovascularization may be seen in patients with healed tubercular serpiginous-like choroiditis, after a long period of quiescence. Simultaneous bilateral presentation is rare but possible, requiring mandatory multimodal imaging of both eyes under high index of suspicion. Early institution of anti-vascular endothelial growth factor may salvage optimum vision in such a scenario.

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