PDF(Pubmed)
Abstract：
BACKGROUND: Bilateral retinal detachment and choroidal detachment in a patient are rare occurrences. The presence of bilateral diabetic retinopathy (DR) in such a case is even rarer and complicates the condition.
METHODS: In this study, we document a case of unconventional VKH. Manifestations in this patient included intense peripheral retinal detachment and choroidal detachment, along with vitreous opacities akin to cotton wool spots, concurrent with DR. The diagnosis was considered as probable VKH with DR. Treatment according to VKH protocols, including high-dose corticosteroids, yielded positive results.
CONCLUSIONS: VKH can co-occurrence with DR. VKH manifestations vary, and early, aggressive, and long-term treatment is essential. The complexity of treatment increases with concurrent DR, necessitating the use of immunosuppressants.
METHODS: In this study, we document a case of unconventional VKH. Manifestations in this patient included intense peripheral retinal detachment and choroidal detachment, along with vitreous opacities akin to cotton wool spots, concurrent with DR. The diagnosis was considered as probable VKH with DR. Treatment according to VKH protocols, including high-dose corticosteroids, yielded positive results.
CONCLUSIONS: VKH can co-occurrence with DR. VKH manifestations vary, and early, aggressive, and long-term treatment is essential. The complexity of treatment increases with concurrent DR, necessitating the use of immunosuppressants.
摘要：
背景：患者的双侧视网膜脱离和脉络膜脱离很少发生。在这种情况下，双侧糖尿病性视网膜病变（DR）的存在甚至更罕见，并且使病情复杂化。
方法：在本研究中，我们记录了一个非常规VKH的案例。该患者的表现包括强烈的周边视网膜脱离和脉络膜脱离，以及类似于棉绒斑点的玻璃体混浊，同时与DR.诊断为DR可能为VKH。根据VKH方案治疗，包括大剂量皮质类固醇,产生了积极的结果。
结论：VKH可与DR共现。VKH表现各不相同，和早期,侵略性,长期治疗至关重要。治疗的复杂性随着DR的并发而增加，需要使用免疫抑制剂。
方法：在本研究中，我们记录了一个非常规VKH的案例。该患者的表现包括强烈的周边视网膜脱离和脉络膜脱离，以及类似于棉绒斑点的玻璃体混浊，同时与DR.诊断为DR可能为VKH。根据VKH方案治疗，包括大剂量皮质类固醇,产生了积极的结果。
结论：VKH可与DR共现。VKH表现各不相同，和早期,侵略性,长期治疗至关重要。治疗的复杂性随着DR的并发而增加，需要使用免疫抑制剂。
