■Leber的特发性星状视网膜炎(LISN)是一种罕见的疾病,以椎间盘水肿为特征,乳头周围和黄斑硬渗出物,而且经常,玻璃体细胞的存在。为加强临床对该病的认识,对在我们医院诊断为LISN的患者进行了回顾性分析,并就其诊断和治疗进行了讨论。
■我们回顾了一名26岁男性患者的医疗记录,其主要主诉是双眼视力下降4天,在最后一天恶化了。经过全身检查,荧光素眼底血管造影,吲哚菁绿血管造影,患者被诊断为双眼LISN.糖皮质激素治疗后,患者的视力显着改善。
■入院时,双眼视力为:VOD0.05,VOS0.25。治疗5天后,双眼视力为:VOD0.25,VOS0.4。随访1个月后,双眼视力为:VOD0.4,VOS0.6。经过5个月的随访,患者的视力改善至VOD0.6,VOS0.8。
■LISN的原因尚未确定。必须排除表现出相似临床症状但具有明确病因的疾病。主要治疗方法包括基于糖皮质激素的抗炎治疗,可能补充抗生素,抗病毒药物,血管扩张剂,和传统中药。这种疾病通常是自限性的,通常预后良好。
UNASSIGNED: Leber\'s idiopathic stellate neuroretinitis (LISN) is a rare disease characterized by disk edema, peripapillary and macular hard exudates, and often, the presence of vitreous cells. To enhance clinical understanding of the disease, a retrospective analysis was conducted on a patient diagnosed with LISN at our hospital, and discussions were held regarding its diagnosis and treatment.
UNASSIGNED: We reviewed the medical records of a 26-year-old male patient whose main complaint was a decrease in visual acuity of both eyes for 4 days, which had worsened over the last day. After systemic examination, fundus fluorescein angiography, and indocyanine green angiography, the patient was diagnosed with LISN in both eyes. After treatment with glucocorticoids, the patient\'s vision showed a significant improvement.
UNASSIGNED: Upon admission, the visual acuity of both eyes was: VOD 0.05, VOS 0.25. After 5 days of treatment, the visual acuity of both eyes was: VOD 0.25, VOS 0.4. After 1 month of follow-up, the visual acuity of both eyes was: VOD 0.4, VOS 0.6. After 5 months of follow-up, the patient\'s vision improved to VOD 0.6, VOS 0.8.
UNASSIGNED: The cause of LISN remains unidentified. It is essential to rule out diseases exhibiting similar clinical signs but possessing a clear etiology. The primary treatment approach involves
glucocorticoid-based anti-inflammatory therapy, potentially supplemented with antibiotics, antivirals, vasodilators, and traditional Chinese medicine. This disease is usually self-limiting and generally carries a favorable prognosis.