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後鞏膜炎合併眼眶部假性腫瘤－病例報告
Coexistent Posterior Scleritis and Orbital Pseudotumor-A Case Report
摘要
本篇報告一位22歲女性，左眼在頭部外傷往一個月，逐漸出現頭痛，左眼球後疼痛及突眼，經眼科檢查，右眼正常，左眼視力矯正後為0.05，稍微突出，眼外活動正常，眼瞼紅腫及結膜明顯充血，眼底可見視神經盤界限模糊，後極部視網膜皺摺，眼底螢光血管攝影顯示斑駁狀脈絡膜，超音波和電腦斷層攝影可見球後壁增厚及球後組織水腫，診斷為後鞏膜炎，經給予口服類固醇，症狀緩解，追蹤期間曾因停止用藥而復發，病發兩年後追蹤發現除了殘餘的左後眼球壁增厚外，左眼球後有一浸潤性腫瘤，疑似發炎性假性腫瘤，並以口服類固醇繼續治療，後曾因懷孕停用，目前情況穩定。
關鍵字
無資料並列摘要
We presented a case who was a 21-year-old female. She suffered from red protruding eye with blurred vision OS one month after an insignificant head injury. Thorough ophthalmic examinaiton including B-scan, computerized tomography (CT) and carotid angiography concluded the diagnosis of posterior scleritis with thickening of posterior sclera, blurred disc margin and retinal fold. No systemic diseases including rheumatoid arthritis can be traced. Response to steroids was good. Two years later, CT follow-up showed appearance of signs of pseudo-tumor with diffuse retrobulbar infiltrating mass except residual thickening of posterior slcera. Treatment with steroids was continued. No significant proptosis was noted and good visual acuity was maintained. The coexistence of posterior scleritis and pseudotumor may indicate some pathological correlation between them.
延伸閱讀
- Wang, J. K., Lai, P. C., & Yang, C. H. (2003). 以視網膜下腫瘤表現之後鞏膜炎：病例報告. The Kaohsiung Journal of Medical Sciences, 19(10), 522-525. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200310-19-10-522-525-a
- 林義博、沈劍西、尤之浩（1999）。眼眶部偽腫瘤－病例報告。中華民國眼科醫學會雜誌，38(2)，291-296。https://doi.org/10.30048/ACTASOS.199906.0014
- Wang, N. T., Wu, C. J., & Huang, S. H. (2014). 眼眶復發性黏液表皮樣癌輔助放射治療：案例報告與文獻回顧. 放射治療與腫瘤學, 21(2), 141-145. https://doi.org/10.6316/TRO/201421(2)141
- Liao, H. F., Bair, P. J., Chen, W. L., & Tsai, S. C. (2003). 反覆性多發性軟骨炎合併眼部病變－病例報告. 中華民國眼科醫學會雜誌, 42(1), 78-83. https://doi.org/10.30048/ACTASOS.200303.0012
- 林昌平、林思源、楊中美、張由美、陳慕師（1989）。Posterior Scleritis-A Case Report。中華民國眼科醫學會雜誌，28(2)，864-869。https://doi.org/10.30048/ACTASOS.198905.0159