외상 후 발생한 양안 중심장액맥락망막병증 1예
A Case of Bilateral Central Serous Chorioretinopathy after Blunt Trauma
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목적: 안와 주변부 외상 후 중심장액맥락망막병증이 양안에서 발생하고 빠른 관해를 보인 증례를 경험하였기에 이를 보고하고자 한다. 증례요약: 44세 남자환자가 우안 주변부 외상 후 내원하였다. 초진 시 세극등현미경 검사 및 안저검사상 특별한 이상은 없었다. 1주일후 우안 시력저하를 호소하였으며, 우안의 망막하액이 관찰되고 형광안저조영검사에서 형광 누출을 보여 우안 중심장액맥락망막병증으로 진단하였다. 3일 후에는 좌안 시력저하를 호소하였으며, 시행한 검사상 좌안도 중심장액맥락망막병증으로 진단하였다. 2주일뒤 우안은 망막하액이 거의 소실되었고, 좌안도 망막하액이 50% 정도로 감소하였다. 그리고 3주 후에는 양안의 망막하액이 거의 소실되었다. 결론: 둔탁 외상 후 양안에 중심장액맥락망막병증이 발생할 수 있으며, 빠른 임상 경과를 보일 수 있어, 초기 검사 후에도 면밀한 경과관찰이 필요하겠다.
Abstract
Purpose: To report a case of bilateral central serous chorioretinopathy (CSC) after blunt trauma with rapid remission. Case summary: A 44-year-old man visited our clinic after blunt trauma around the right eye. At the first examination, no ocularproblem was detected except a periorbital contusion. After one week, the patient complained of visual disturbance in his righteye. Fundus examination showed subretinal fluid in his right eye, and fluorescein angiography (FAG) showed typical smokestackpattern leakage, which lead to a diagnosis of CSC. Three days later, the patient complained of visual disturbance in his lefteye, which was then also diagnosed as CSC. After 2 more weeks, the subretinal fluid in the right and left eyes had decreased. After 3 weeks, the subretinal fluid was almost completely absorbed in both eyes. Conclusions: Central serous chorioretinopathy can develop after blunt trauma, especially with a rapid clinical course. Thus, periodicophthalmologic examination is needed after the first examination for blunt trauma of the eye.
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