Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report

以視網膜下腫瘤表現之後鞏膜炎：病例報告

王嘉康(Jia-Kang Wang) ； 賴佩璟(Pei-Ching Lai) ； 楊長豪(Chang-Hao Yang)

《The Kaohsiung Journal of Medical Sciences》 19卷10期 (2003/10) Pp. 522-525

摘要

本文報告一個後鞏膜炎之病例，且有罕見之臨床表現。一名40歲女性，主訴一天前左眼突然視力模糊，並無任何自體免疫或其他全身性疾病，眼底檢查發現一視網膜下腫瘤，位於視網膜鼻上側部份，由視神經盤延伸至週邊視網膜，大小為10.5×6毫米，螢光眼底攝影並未顯示腫瘤血管，超音波檢查顯示鞏膜增厚併有 T-sign，在後鞏膜炎之診斷下，給予口服類固醇、類固醇眼藥及非類固醇抗發炎藥物，四週後視網膜下腫瘤消失，且視力完全恢復。此病例顯示，後鞏膜炎應為視網膜下腫瘤的鑑別診斷之一，且台灣並無類似病例報告。

關鍵字

視網膜下腫瘤 ； 後鞏膜炎 ； 脈絡膜腫瘤

並列摘要

We report a case of an unusual clinical presentation of posterior scleritis. A 40-year-old woman suffered from sudden blurred vision in her left eye for 1 day. She had no systemic or autoimmune diseases. Fundus examination revealed a subretinal mass (10.5 x 6 mm in basal diameter) in the nasal-superior quadrant extending from the optic disc to the periphery. Overlying retinal striae were obvious. Optic disc hyperemia and mild edema were noted. Fluorescein angiography did not show dye leakage or tumor-feeding vessels. Ultrasonography showed high internal reflectivity of the subretinal mass and thickened sclera with T-sign. Under the impression of posterior scleritis, corticosteroids and nonsteroidal anti-inflammatory drugs were given orally and topically. After 4 weeks, the subretinal mass disappeared without any sequelae. The patient recovered full vision. This case suggests that posterior scleritis is among the differential diagnoses for a fundus mass. There has been no other similar report in Taiwan.

並列關鍵字

posterior scleritis ； subretinal mass ； choroidal tumor