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| Temat postu: mbt shoes sale 1 case of choroidal tuberculoma _17 |
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1 case of choroidal tuberculoma
Yu Qing young, those in the low resistance, manifested as acute choroidal miliary tuberculosis, such as resistance to high, then showed choroidal tuberculoma or disseminated choroiditis, diffuse proliferative, or clamor context because the latter regarded as membrane junction edge high in patients with allergic reactions. Showed inflammatory exudative panchromatic, 7 a? Clever - /?. f3 prime meningitis or chronic recurrent exudative response. Choroidal tuberculoma often occurs in adults, usually unilateral, occurs in the posterior pole of the eye, slow progression, choroidal limitations uplift,[link widoczny dla zalogowanych], was yellow and white or gray spots Jue, the development of spherical, up to 2-4PD size. Was pushed from the entity of retinal detachment. Around the lesion surface and often a small bleeding spots, often complicated with uveitis,[link widoczny dla zalogowanych], vitreous opacity effect months later, the formation of connective tissue wrapped yellow-white scar, calcification may have a smooth surface, surrounded by a small amount of pigmentation. Were occasionally worn outside the eye. The disease is not easy or can not biopsy, there is help extraocular tuberculosis although no pathological diagnosis of this ill, but the clinical features and pulmonary miliary tuberculosis management are to support the diagnosis. Congenital optic disc pits concurrent macular serous retinal detachment Sun Yat-sen Memorial Hospital of Zhongshan Medical University, Yan-Fen Liu I-_I. . - '● - ~ congenital optic disc pits optic disc is a relatively rare congenital anomaly. W [ethe41882) first described a case of 62-year-old women, their wish has two pits on the nipple of clinical performance. Peterson (1958) pointed out that the optic disc pits with a flat macular retinal detachment corresponding relationship more than the old one after another report of the disease abroad, but few in the country reports. Although macular retinal detachment can sometimes be a natural ease, but long-term residual l macular retinal detachment mantle, often slovenly as cystoid macular degeneration of macular hole formation and pigment reduction Ling Jing, therefore, on the membrane from the macular retina and the early diagnosis and Sheng time governance. 'Have important clinical significance. From 1988 - 1990, the authors found 4 cases (4 with) the optic disc pits with macular retinal detachment, Jiang praised the following report. This 4 side (4) in the Pán of 2 Si 2 women side, both unilateral disease, the right eye and 3 down, 1 left-resistant. Tang contention l9-22 years old. Onset of vision loss, depending on the deformation and the smaller spider. Fundus examination showed abnormal optic disc with macular retinal detachment. Eye Yin normal. Vision 0.2 - O. 4, the contralateral normal eye health. Direct ophthalmoscope and three-mirror examination revealed optic disc diameter of 4,[link widoczny dla zalogowanych], the eye is slightly larger than the contralateral eyes with irregular round t, optic disc diameter pre 1/3-1/2 side of the hollow area, the depth is about 3-6D small Bottom no blood vessels. Central retinal vascular Chong pressed against the nasal optic disc. 1 of the flat serous macular detachment, optic disc size range of about 2-2 ÷ (Photo Profile 'Figure 1). 4 are for the eye fundus fluorescein angiography. Arterial phase shows the lateral margin of the optic disc depression and macular whip with a small dot of fluorescent spots j venous phase, the optic disc pits gradually showing strong fluorescence. Fluorescent spots on the edge of the pit gradually extended to the spread of the macula. Serous macular retinal detachment was strongly fluorescent spots Death Locust, 1. Ge dishwasher loving f l lack of rudder hatch late. Shopping as per the North Po Siu Fu. '』With macular break was strong fluorescence (Figure 2) normal eye health discussion: congenital optic nerve pits are ectodermal defects or difficulties, as the pedicle is not a part of the normalization of Health for the retina and retinal pigment epithelium formed, the eye of the disease is not sex and not differences, but the vast majority of unilateral disease. A typical state of change is clear on the optic disc depression formed in the disc most decadent side of the pits (about 70), also found in other parts of the central or, more single ten pits, sometimes more than BU. Apple and so on. That, in general, the pits in the side of a disc Hao 4o 60 can cause a macular changes. This 4 down (4) of the optic disc pits were Hao Oh I, and combined serous retinal detachment in macular disease in the Tang Dynasty more than compete in the 20-4O years old. This 4 patients 19-22 years of age down, both monocular disease. About Macular serous retinal detachment is not yet clear gap causes. Reported in the literature. Called from the clear liquid that macular spinal fluid under the retina from the optic disc pits the potential channels through leakage into the macular area was also suggested that the Housing {surgery or vitreous fluid from the pits and into the subretinal; and still others from abnormal choroidal capillary or optic disc leakage. Of fundus fluorescein angiography in the process of doing in the pits found in the temporal artery on the lateral margin of the optic disc and macular area where there is a small point-like fluorescent spots, optic disc pits gradually venous phase showed strong fluorescence,[link widoczny dla zalogowanych], the fluorescence pit edge spots gradually extending to the macula diffusion, plasma possession of macular retinal detachment was strongly fluorescent spots inferred that the liquid may be leaking from the pit edge of the choroid. When the Department of optic disc pit with macular detachment, not to entertain a diagnosis,, 1
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