关键词: Macula Ophthalmology Retina

Mesh : Humans Uveomeningoencephalitic Syndrome / complications diagnosis drug therapy Choroidal Neovascularization / drug therapy etiology diagnostic imaging diagnosis Tomography, Optical Coherence Fluorescein Angiography / methods Diagnosis, Differential Male Female Adult Angiogenesis Inhibitors / therapeutic use administration & dosage

来  源:   DOI:10.1136/bcr-2023-256973

Abstract:
Choroidal neovascular membrane (CNVM) in Vogt-Koyanagi-Harada disease (VKH) is a known entity, observed primarily during the chronic convalescent and chronic-recurrent phases of the disease. However, the peripapillary location of CNVM is a rare finding.We describe a case of chronic VKH with bilateral peripapillary CNVM detected using multimodal imaging and the associated differential diagnoses and treatment approach.A combination of anti-vascular endothelial growth factor injections, systemic steroids and immunosuppressants is often required to manage the aggressive course of this choroidal neovascularisation.
摘要:
脉络膜新生血管膜(CNVM)在Vogt-Koyanagi-Harada病(VKH)是一个已知的实体,主要在疾病的慢性恢复期和慢性复发期观察到。然而,CNVM的乳头周围位置是一个罕见的发现。我们描述了使用多模态成像和相关的鉴别诊断和治疗方法检测到的具有双侧乳头周围CNVM的慢性VKH病例。抗血管内皮生长因子注射液的组合,通常需要全身性类固醇和免疫抑制剂来控制脉络膜新生血管的侵袭性过程。
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