视力模糊
荧光素眼底血管造影
医学
眼底(子宫)
眼科
光学相干层析成像
脉络膜
鉴别诊断
浆液性液体
视网膜
荧光血管造影
视网膜
病理
心理学
神经科学
作者
Yuanyuan Zhang,Chenwei Gui,Tianyu Wang,Jianhao Bai,Zhongqi Wan,Lei Gao,Qing Peng
标识
DOI:10.1016/j.pdpdt.2024.104061
摘要
A 46-year-old male patient visited our clinic with a complaint of blurred vision in the right eye accompanied by headache and insomnia. The fundus examination showed three bullous retinal detachments in the right eye. Considering the prodromal symptoms and other fundus characteristics such as vitreous cells in the posterior pole and multifocal fluorescence leakages on fundus fluorescein angiography (FFA), initial diagnosis was considered as Vogt-Koyanagi-Harada (VKH). However, oral glucocorticoids didn't improve patient's vision. Further enhanced depth imaging (EDI)-optical coherence tomography (OCT) scan displayed hyper-reflective lesions at the choroidal layer. We proposed that hyper-reflective lesions at the choroidal layer on EDI-OCT may characterize the bullous variant of central serous chorioretinopathy (CSC). After fundus photocoagulation treatment, the patient's vision improved.
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