일스병 환자에서 경과관찰 중 발생한 망막중심정맥폐쇄
Central Retinal Vein Occlusion Occurrence in an Eales Disease Patient
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목적: 일스병에서 환자에서 경과관찰 중 망막중심정맥폐쇄가 발생한 증례를 경험하여 이를 보고하고자 한다. 증례요약: 23세 남자환자가 좌안 유리체출혈에 의한 시력저하로 내원하여 안과적 검사 후 양안 일스병으로 진단받고 양안 레이저광응고술 치료를 시행하였다. 이후 좌안 시력은 호전되었고 특별한 문제없이 3년 동안 정기적으로 경과관찰 하던 중 갑작스런 우안 시력저하가 발생하였다. 내원 시 나안시력은 우안 0.6, 좌안 1.0이었으며 다른 전안부의 이상은 보이지 않았다. 안저검사 상 우안 망막전반부의 불꽃 모양 출혈 및 혈관 구불거림이 관찰되었고 형광안저혈관조영에서 동정맥통과시간이 연장되어 망막중심정맥폐쇄로 진단하였다. 이에 내과적 검사를 시행하였으나 망막중심정맥폐쇄를 일으킬만한 혈액학적 이상이나 다른 질환은 발견되지 않았다. 빛간섭단층촬영에서 황반부종을 보였고 치료를 위해 아바스틴 유리체강내 주입술을 시행하였다. 시술 6개월 후 우안시력 및 황반부종은호전되었다. 결론: 일스병과 관련된 망막의 주혈관폐쇄로서는 망막 주변부의 분지망막정맥폐쇄가 주로 보고되어 있으나 일스병 환자에서 망막중심정맥폐쇄가 발생한 증례를 경험하여 이를 보고하고자 한다.
Abstract
Purpose: To report the occurrence of central vein occlusion in an Eales disease patient. Case summary: A 23-year-old man presented with decreased left eye visual acuity and was diagnosed with bilateral Eales disease after ophthalmic evaluations. The patient received laser photocoagulation and visual acuity in his left eye improved 1 month after treatment. He was followed up regularly for 3 years and had no specific eye problems. Subsequently,the patient visited our clinic because of visual disturbance in his right eye. The patient’s visual acuity was 0.6 in his right eye, and 1.0 in his left eye. On right eye fundus examination, there were multiple flame shape hemorrhages and retinal vascular tortuosity was observed. Arteriovenous transit time was extended on fluorescein angiography. Therefore, the patient was diagnosed with central retinal vein occlusion and underwent an internal medical examination to reveal a possible systemic cause of the central retinal vein occlusion; however, there were no systemic problems. Macular edema was observed on optical coherence tomography and the patient received an intravitreal bevacizumab injection. Six months after treatment, the right eye visual acuity and macular edema improved. Conclusions: Reports of branched retinal vein occlusion on the peripheral retina are common in Eales disease patients. However, the authors experienced and report a case of central retinal vein occlusion occurring in Eales disease.
참고문헌 (9)
- Biswas J, "Eales disease--an update", Surv Ophthalmol, 47, pp.197~214 (2002)
- Moyenin P, "Eales' syndrome. Clinical aspects, therapeutic indications and course of 29 cases", J Fr Ophtalmol, 10, pp.123~128 (1987)
- Atmaca LS, "Visualization of retinal vasculitis in Eales’ disease", Ocul Immunol Inflamm, 1, pp.41~48 (1993)
- Das T, "Eales’ disease", Indian J Ophthalmol, 42, pp.3~18 (1994)
- Renie WA, "The evaluation of patients with Eales' disease", Retina, 3, pp.243~248 (1983)
- Atmaca LS, "A long-term follow-up of Eales' disease", Ocul Immunol Inflamm, 10, pp.213~221 (2002)
- Gilbert TW, "Periphlebitis and endovasculitis of retinal vessels", Klin Monatsbl Augenheilkd, 94, pp.335~349 (1935)
- Gieser SC, "Eales disease, In Retina. Vol.2", pp.535~539 (1989), Mosby
- Ahn JB, "Eales disease accompanied with branch retinal vein occlusion", J Korean Ophthalmol Soc, 36, pp.658~663 (1995)