梅毒性脉络膜视网膜炎一例
Chinese Journal of Practical Ophthalmology(CJPO)(2012)
Abstract
患者男,37岁.因右眼前黑影飘动一周余于2011年2月8日来我院眼科就诊,查体:体温36.5℃,血压120/70 mm Hg,最佳矫正视力右眼0.2(-7 D),左眼1.0(-5 D),双眼眼前节未见改变,右眼眼底视盘轻隆起,边界清,静脉扩张,盘周视网膜水肿,左眼眼底正常,眼压:右眼16.5 mm Hg,左眼18 mm Hg,中心视野示右眼中心暗点,OCT:右眼视乳头上下方轻度水肿,头颅MRI:双侧脑室体旁、额叶散在小缺血灶.眼底荧光血管造影(FFA)示:右眼视乳头高荧,颞上、颞下静脉怒张,管壁荧光着染,黄斑周围血管荧光着染,黄斑区未见异常荧光,被诊为"右眼视盘血管炎".否认全身疾病史和药物过敏史,否认手术和输血史.
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