吉林大学学报(医学版) ›› 2020, Vol. 46 ›› Issue (05): 1074-1077.doi: 10.13481/j.1671-587x.20200529

• 临床医学 • 上一篇    

太田痣并发青光眼睫状体炎综合征1例报告及文献复习

刘科琳, 邹莹, 王君, 裴颖   

  1. 吉林大学第二医院眼科, 吉林长春 130022
  • 收稿日期:2020-01-12 发布日期:2020-10-23
  • 通讯作者: 裴颖,教授,硕士研究生导师(Tel:0431-88766119,E-mail:peiying@jlu.edu.cn) E-mail:peiying@jlu.edu.cn
  • 作者简介:刘科琳(1995-),女,河南省商丘市人,在读医学硕士,主要从事青光眼临床诊治方面的研究。
  • 基金资助:
    吉林省科技厅自然科学基金资助课题(3D5195761429)

Nevus of ota complicated with Posner-Schlossman syndrome:A case report and literature review

LIU Kelin, ZOU Ying, WANG Jun, PEI Ying   

  1. Department of Ophthalmology, Second Hospital, Jilin University, Changchun 130022, China
  • Received:2020-01-12 Published:2020-10-23

摘要: 目的:探讨太田痣并发青光眼睫状体炎综合征(PSS)患者的临床表现、诊断要点和鉴别诊断,提高临床医生对该疾病的认识。方法:收集1例太田痣并发PSS患者的临床资料,采用裂隙灯显微镜、超生生物显微镜、视野计和前房角镜等仪器进行检查,对该患者的检查结果及诊疗过程进行总结,并进行相关文献复习。结果:患者,男性,15岁,以"右眼视物模糊、眼红"就诊。右侧颞部、颊部、鼻部及前额皮肤可见蓝黑色色素斑块;眼部检查,患者右眼眼压升高,右眼球结膜充血,巩膜全周可见黑色素沉积,角膜轻度水肿,角膜后可见3个羊脂状孤立角膜后沉着物(KPs);房角镜检查,房角开放,小梁网及睫状体存在大量色素沉积。临床诊断为太田痣并发PSS,给予降眼压和抗炎治疗,患者恢复良好。随访2年,期间复发1次,再次给予对症治疗症状好转。结论:眼压升高是太田痣常见的严重并发症,本例患者出现视物模糊和眼压升高等症状,易被误诊为太田痣并发青光眼,应结合临床表现和眼部检查做出PSS的诊断,以免延误治疗。

关键词: 太田痣, 青光眼睫状体炎综合征, 青光眼, 眼压, 角膜后沉着物

Abstract: Objective: To explore the clinical manifestations,diagnosis points and differential diagnosis of the patient with nevus of ota complicated with Posner-Schlossman syndrome(PSS), and to improve clinicians' understanding of the disease. Methods: The clinical materials of a patient with nevus of ota complicated with PSS were collected; slit-lamp microscope,ultrasound biomicroscope,perimeter,gonioscope and other instruments were used for inspection, the examination results and diagnosis and treatment process of this patient were summarized, and the relevant literatures were reviewed. Results: The male patient,15 years old, went to hospital because of "blurred vision and redness in the right eye",the patient's right temporal, cheek, nose and forehead skin showed blue and black pigmented plaques;the eye examination results showed that the intraocular pressure of the patient's right eye was increased,and there were conjunctival hyperemia, peripheral pigmentation of the sclera, mild corneal edema in right eye and 3 mutton fat isolated keratic precipitates(KPs) behind the cornea. The gonioscope examination results showed that the angle of anterior chamber was open,and trabecular meshwork and ciliary body had extensive pigmentation. Clinical diagnosis was nevus of ota complicated with PSS; the patient was given symptomatic treatment of lowering intraocular pressure and anti-inflammatory, and the patient recovered well. The patient was followed up for 2 years and recurred once, and was given symptomatic treatment again and the symptoms were improved. Conclusion: Increased intraocular pressure is a common serious complication of nevus of ota. This patient had blurred vision and increased intraocular pressure, which was easy to be misdiagnosed as nevus of ota complicated with glaucoma.A diagnosis of PSS should be made based on the clinical manifestations and eye examinations, so as not to delay treatment.

Key words: nevus of ota, Posner-Schlossman syndrome, glaucoma, intraocular pressure, keratic precipitates

中图分类号: 

  • R775