眼结节病的眼底改变(附4例报告)

来源 :白求恩医科大学学报 | 被引量 : 0次 | 上传用户:allenhuqiqi
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本文报告二例以眼底改变为主的眼结节病,并就近期有关文献加以复习。眼结节病患者多以葡萄膜炎的表现发病。眼底检查时可见视网膜蜡样渗出或境界清楚的圆点状及片状渗出,后期在视网膜周边区形成煤烟样的色素沉着。视神经乳头早期常有水肿、充血、后期萎缩。黄斑部可有水肿及色素上皮的变化。视网膜小动脉呈串珠样改变。小静脉迁曲、扩张、呈节段性变化,静脉旁有白鞘,也可有视网膜静脉周围炎的改变。 This article reports two cases of ocular sarcoidosis mainly based on fundus changes, and review the recent literature. Ocular sarcoidosis patients to the performance of uveitis. Fundus examination showed retinal wax-like exudate or the state of clear dot-like and exudate, the latter part of the retinal peripheral area to form soot-like pigmentation. Early optic nerve head edema, congestion, late atrophy. There may be macular edema and pigment epithelial changes. The retinal artery was beaded-like changes. Small venous migration, expansion, was segmental changes, paraventricular white sheath, retinal vein inflammation may also have changes.
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