CAJ | 학술논문

患者,男, 27岁,足球比赛后左眼突然视力丧失,由于初步治疗没有好转,患者于首次就诊3wk后再次就诊.检查发现左眼黄斑区大块白色病变以及积液.由于无法排除感染的可能性,这对于诊断提出了难题.玻璃体切除及活检显示为由于Valsalva视网膜病变导致的黄斑部视网膜前出血而形成的旧的组织血液.
환자,남, 27세,족구비새후좌안돌연시력상실,유우초보치료몰유호전,환자우수차취진3wk후재차취진.검사발현좌안황반구대괴백색병변이급적액.유우무법배제감염적가능성,저대우진단제출료난제.파리체절제급활검현시위유우Valsalva시망막병변도치적황반부시망막전출혈이형성적구적조직혈액.
We describe a 27-year-old gentleman who presented with sudden loss of left vision after a football match. As there was no improvement with previous treatment, he was referred to us for second opinion three weeks after initial presentation. Examination showed a quiet left eye with large whitish lesion with fluid level in the macula. It posed a dilemma in diagnosis as possibility of infectious cause could not be ruled out.Pars plana vitrectomy with vitreous biopsy was done and it showed old organised blood from premacular haemorrhage resulted from valsalva retinopathy.