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单纯疱疹性视网膜脉络膜炎常合并有全身性炎症。但是无全身性疱疹病变患者的单疱病毒性视网膜脉络膜炎的诊断则是困难的。这是由于难于直接确定病因。因此作者认为在选择性的病例中,在适当的安全操作下,应该考虑施行视网膜脉络膜活检,以便明确诊断。本文报告一例健康成人的Ⅰ型单疱病毒性视网膜脉络膜炎。由于进行了视网膜脉络膜活体组织学检查而确诊。患者男,20岁,初诊时检查:双眼视力20/16,左限前房闪光及细胞中度,玻璃体细胞中度。眼底周边部和赤道部有多灶性视网膜脉络膜病变,急性病变的视网膜深层有水肿形成的絮状混浊区,无出血及血管白鞘。慢性病变为明显的视网膜色素上皮和脉络膜萎缩,衬有多色素性斑块。视盘轻度水肿,黄斑未受累。右
Herpes simplex retinal choroiditis often associated with systemic inflammation. However, the diagnosis of herpes simplex retinal choroiditis in patients without systemic herpes lesions is difficult. This is because it is difficult to determine the cause directly. Therefore, the author believes that in selective cases, under appropriate safe operation, should consider the implementation of retinal choroidal biopsy in order to confirm the diagnosis. This article reports a case of healthy adult type herpes simplex retinopathy choroiditis. Confirmed by retinal choroidal biopsy. Male patient, 20 years old, examination at first visit: binocular visual acuity 20/16, left anterior chamber flash and cell moderate, moderate vitreous cells. Fundus peripheral and equatorial multifocal retinal chorioretinopathy, acute retinal deep edema formed floc cloudy area, no bleeding and vascular sheath. Chronic lesions were marked retinal pigment epithelium and choroidal atrophy, lined with pigmented plaques. Mild optic disc edema, macula are not involved. right