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ID:19605765
大小:1.72 MB
页数:10页
时间:2018-10-04
《_inner choroidopathy extras点状内层脉络膜病变演员课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、PunctateInnerChoroidopathyAhmedMagdyBedda,MD,PhDProfessorofOphthalmologyRowaydaM.Amin,MScAssistantlecturerofOphthalmologyAlexandriaUniversityOcularHistory25yearoldfemalepresentedwithrecentdiminutionofvisioninherODgradualprogressivelossofvisioninherOSovertheprevious1.5yearsnosteroid
2、orimmunomodulatorytherapyFirstpresentationOD:BCVA6/12anteriorsegmentwasunremarkabletracevitreouscellFundus:small,white-yellowlesionsatthelevelofthechoroidandRPEthatsurroundthediscandthemacularregionFirstPresentationOS:BCVA1/60AnteriorsegmentunremarkablenovitreouscellFundus:multiple
3、small,white-yellowpunchedoutlesionsthatsurroundthediscwitholderpigmentedlesionsinvolvingthemaculaInvestigationsFA:EarlyhyperfluorescencewithlatestainingandleakageofthemacularlesionsInvestigationsFA:EarlyhyperfluorescencewithlatestainingandleakageofthemacularlesionsTreatmentoralpred
4、nisone60mgdailyfortwoweeksfollowedbyweekly10mgtaperdownto20mgthen5mgbiweeklytaperoveranother4weeksAzathioprine50mgbid6WeeksafterTreatmentOD:BCVA6/9Funduslesionshavescarredandaremorewell-definedwithadiscreteborder.6WeeksafterTreatmentOS:BCVA:6/9Funduslesionshavemorewell-definededges
5、andapunched-outappearancewithsomemorepigmentation.ConclusionPICisanidiopathicdisorderwithinthespectrumofmultifocalchoroiditidestypicallyitisnotassociatedwithintraocularinflammationprognosisisgoodunlesscomplicatedwithsubmacularlesionsorchoroidalneovascularmembranes
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