论文部分内容阅读
病人,女,24岁。双眼视力下降2 d,无眼红、眼痛、畏光、流泪,无眼前黑影飘动。2 d前曾患感冒。眼科检查:视力右眼0.15,左眼0.5;眼压右眼2.31 kPa,左眼2.24 kPa;双眼轻度睫状充血,角膜透明,前房闪辉(),前房炎症细胞(),晶状体透明,瞳孔圆,直径3 mm,对光反射迟钝,玻璃体腔内见大量炎性细胞。散瞳下检查眼底:视乳头边界欠清晰,其周围视网膜浆液性脱离,视网膜上散在出血,可见广泛的视网膜血管鞘,主要累及视网膜静脉,黄斑无水肿,中心反射不敏感。眼底血管荧光造影显示:视盘荧光渗漏,晚期加强;
Patient, female, 24 years old. Decreased binocular vision 2 d, no jealous, eye pain, photophobia, tearing, no immediate shadow fluttering. Had a cold 2 days ago. Eye examination: visual acuity of right eye 0.15, left eye 0.5; intraocular pressure of the right eye 2.31 kPa, left eye 2.24 kPa; mild bilateral ciliary congestion, corneal transparency, anterior chamber glint (), anterior chamber inflammatory cells , Pupil circle, diameter 3 mm, slow light reflex, see a large number of inflammatory cells in the vitreous cavity. Mydriasis check the fundus: optic disc border is not clear, the surrounding retinal serous detachment, scattered scattered in the retina, showing a wide range of retinal vascular sheath, mainly involving the retinal vein, macular edema, central reflex insensitivity. Fundus fluorescein angiography showed: fluorescence disc leakage, enhanced late;