关键词: atopic dermatitis retinal detachment retinal vasculitis

Mesh : Male Humans Young Adult Adult Retinal Detachment / etiology surgery diagnosis Dermatitis, Atopic / complications drug therapy surgery Retinal Vasculitis / drug therapy complications surgery Macular Edema / etiology complications Scleral Buckling / adverse effects Retrospective Studies

来  源:   DOI:10.24920/004321

Abstract:
Atopic dermatitis is usually associated with various ocular complications. We report a 21-year-old Chinese male who presented to our ophthalmology clinic with bilateral retinal detachment and cataracts. The patient had a clear medical history of atopic dermatitis, which had been diagnosed eight years earlier and had been treated with loratadine and pimecrolimus. Cataract surgery was performed for both eyes, combined with scleral buckling for the right eye and pars plana vitrectomy for the left eye. During postoperative follow-up, fundus fluorescein angiography showed retinal vasculitis in both eyes and macular edema in the left eye, which coincided with an exacerbation of atopic dermatitis. Macular edema improved after four months of regular dupilumab treatment in the dermatology department. The ocular condition remained stable three years postoperatively.
摘要:
特应性皮炎通常与各种眼部并发症有关。我们报告了一名21岁的中国男性,他因双侧视网膜脱离和白内障出现在我们的眼科诊所。患者有明确的特应性皮炎病史,八年前被诊断出,并接受了氯雷他定和吡美莫司的治疗。双眼进行白内障手术,右眼联合巩膜扣带术和左眼玻璃体切除术。术后随访期间,荧光素眼底血管造影显示双眼视网膜血管炎和左眼黄斑水肿,这与特应性皮炎的恶化同时发生。在皮肤科接受常规dupilumab治疗四个月后,黄斑水肿得到改善。术后3年眼部病情稳定。
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