a、b巩膜水肿、深层巩膜外血管丛扩张,多发性角膜周围浸润,切除部位附近角膜轻度变薄;c-e虹膜上可见多发颗粒状沉积物,4周后沉积逐渐增多,部分从虹膜上剥离,漂浮于前房;f-g弥漫性巩膜炎治疗后巩膜水肿和深层巩膜外血管丛扩张减少,虹膜沉积物几乎消失。
(a)B超回声显示视网膜脱离及玻璃体内肿块影;(b)磁共振造影显示包括后巩膜在内的左眼球周围高强度影,提示炎症反应
A79-year-oldwomanunderwentprimarypterygiumexcisionandconjunctivalautografttransportationwithmitomycinCinherlefteye.8monthspostoperatively,diffuseanteriorandposteriorscleritiswasnoted,however,scleralnecrosiswasnotapparent.Multiplegranulardepositswereobservedonthesurfaceoftheiris.Thedeposits,aqueoushumor,andvitreouswereexamined.Sincetherewerenosignsofinfectionormalignancy,thepatientwasdiagnosedwithscleritiswithintraocularinflammationfollowingpterygiumsurgery.一位79岁的妇女左眼接受了翼状胬肉切除和丝裂霉素C自体结膜移植手术。术后8个月,出现弥漫性前后巩膜炎,但巩膜坏死并不明显。虹膜表面可见多发颗粒状沉积物。检查沉积物、房水和玻璃体未见有明显感染或恶性肿瘤的迹象,完善检查后确诊为巩膜炎和眼内炎。
词汇:
pterygium/t??r?d?i?m/n.[眼科]翼状胬肉
mitomycin/?ma?t??ma?s?n/n.丝裂霉素
necrosis/ne?kro?s?s/n.坏死;坏疽;骨疽
granular/?ɡr?nj?l?r/adj.颗粒的;粒状的
aqueoushumor房水;[组织]水状液;[基医]眼房水
vitreous/?v?tri?s/adj.玻璃的;玻璃状的;玻璃似的
malignancy/m??l?ɡn?nsi/n.恶性(肿瘤等);恶意引用:
MatsuuraK,TerasakaY.Diffuseanteriorandposteriorscleritiswithmultipleirisgranulardepositsfollowingpterygiumexcision[J].RomanianJournalofOphthalmology,,65(4):.
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