PDF(Pubmed)
Abstract：
A 12-year-old boy with underlying severeand poorly controlled atopic dermatitis (AD) associated with atopic conjunctivitis and rhinitis presented with a right painless blurring of vision for two weeks. On examination, his right eye visual acuity was 1/60,with grade 1 relative afferent pupillary defect (RAPD). Anterior segment examination revealed anterior uveitis with dense posterior subcapsular cataract and hazy fundus view. B-scan ultrasound suggested a shallow total retinal detachment. Intraoperatively, a large retinal dialysis was found. This paper highlights the need for a high index of suspicion of retinal dialysis in a child with underlying AD and the importance of good control of this systemic condition to prevent ocular morbidity.
摘要：
一个12岁的男孩，患有与特应性结膜炎和鼻炎相关的严重且控制不佳的特应性皮炎（AD），表现为右无痛视力模糊两周。在检查中，右眼视力为1/60，1级相对传入瞳孔缺损（RAPD）。前节检查显示前葡萄膜炎伴有致密的后囊下白内障和模糊的眼底视图。B超提示浅的全视网膜脱离。术中,发现了大量的视网膜透析。本文强调了患有潜在AD的儿童对视网膜透析的高度怀疑的必要性，以及良好控制这种全身状况以预防眼部发病的重要性。
