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全身性红斑狼疮(SLE)很少影响到脉络膜。作者报告1例SLE继发视网膜下新生血管形成的病人。男,68岁。双眼视力减退,有漂浮物和闪光暗点。眼病史无特殊。医疗史包括有间歇性关节痛,进行性脱发和皮肤对光敏感。双眼视力均20/50,裂隙灯检查仅有轻度玻璃体炎。眼底检查发现双眼视网膜血管炎(静脉炎为著)和节段性血管鞘以及视网膜内出血。血管荧光素造影证实了这些发现并显示双眼视神经乳头炎和黄斑水肿。双眼黄斑区有小的,静止性脉络膜视网膜瘢痕。未发现玻璃疣或视网膜色素上皮的其它异常。
Systemic lupus erythematosus (SLE) rarely affects the choroid. The authors report 1 patient with SLE secondary retinal neovascularization. Male, 68 years old. Binocular vision loss, there are floating objects and flash dark spots. No history of eye disease. Medical history includes intermittent joint pain, progressive hair loss and skin light sensitivity. Binocular vision were 20/50, slit lamp examination only mild vitritis. Fundus examination found that binocular vasculitis (phlebitis) and segmental vascular sheath and intra-retinal hemorrhage. Vascular fluorescein angiography confirmed these findings and showed binocular optic papillitis and macular edema. Ocular macular area has a small, resting chorioretinal scar. No other abnormalities of drusen or retinal pigment epithelium were found.