網膜血管炎
WordNet
- in or relating to the retina of the eye; "retinal cells"
- the innermost light-sensitive membrane covering the back wall of the eyeball; it is continuous with the optic nerve
- inflammation of a blood vessel
PrepTutorEJDIC
- (目の)網膜
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/12/06 11:41:56」(JST)
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Retinal vasculitis |
Classification and external resources |
ICD-9 |
362.18 |
Retinal vasculitis is inflammation of the vascular branches of the retinal artery, caused either by primary ocular disease processes, or as a specific presentation of any systemic form of vasculitis such as Behçet's disease, sarcoidosis, multiple sclerosis, or any form of systemic nectrozing vasculitis such as temporal arteritis, polyarteritis nodosa, and Wegener's granulomatosis, or due to lupus erythematosus, or rheumatoid arthritis.[1][2] Eales disease, pars planitis, birdshot retinochoroidopathy (autoimmune bilateral posterior uveitis), and Fuchs heterochromic iridocyclitis (FHI) can also cause retinal vasculitis.[1] Infectious pathogens such as Mycobacterium tuberculosis, visceral larva migrans (Toxocara canis & Toxocara cati) can also cause retinal vasculitis.[1]
Contents
- 1 Symptoms
- 2 Findings
- 3 Diagnosis
- 4 Diseases associated with retinal vasculitis
- 5 Sources
Symptoms
Retinal vasculitis presents as painless, decrease of visual acuity (blurry vision), visual floaters, scotomas (dark spot in vision), decreased ability to distinguish colors, and metamorphopsia (disrtion of images such as linear images).[1]
Findings
Ophthalmic examination may reveal neovascularization (creation of new vessels in the retina), retinal vessel narrowing, retinal vessel cuffing, retinal hemorrhage, or possible vitritis (inflammation of the vitreous body) or choroiditis (inflammation of the choroid).[1]
Diagnosis
Retinal vasculitis is very rare as the only presenting symptom. Often there is sufficient systemic evidence to help the physician decide between any one of the aforementioned possible systemic diseases. For those patients who present with only vasculitis of the retinal vessels, great investigative effort (Chest X-ray, blood test, urinary analysis, vascular biopsy, ophthalmology assessment, etc.) should be undertaken to ensure that a systemic disease is not the hidden culprit.
Diseases associated with retinal vasculitis
- Behçet's disease
- Sarcoidosis
- Multiple sclerosis
- Temporal arteritis
- Polyarteritis nodosa
- Wegener's granulomatosis
- Lupus erythematosus
- Rheumatoid arthritis
- Eales disease
- Idiopathic Retinal Vasculitis Aneurysms and Neuroretinitis
Q fever
Sources
- ^ a b c d e Lynn K. Gordon, M.D., Ph.D. (January 2003). "Retinal Vasculitis". American Uveitis Society. Retrieved December 10, 2010.
- ^ Bolster, Marcy B.; Collier, Virginia U.; Bass, Anne R.; Brasington, Richard D.; Brown, Alan N.; Jonas, Beth; Staudt, Leslie S. (2009). Medical Knoweldge Self-Assessment Program (MKSAP-15): Rheumatology. ACP (American College of Physicians). pp. 71–3. ISBN 978-1-934465-30-1.
UpToDate Contents
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English Journal
- Spectrum of Retinal Vascular Diseases Associated with Paracentral Acute Middle Maculopathy.
- Chen X1, Rahimy E2, Sergott RC2, Nunes RP3, Souza EC3, Choudhry N4, Cutler NE2, Houston SK2, Munk MR5, Fawzi AA5, Mehta S2, Hubschman JP6, Ho AC2, Sarraf D7.
- American journal of ophthalmology.Am J Ophthalmol.2015 Apr 4. pii: S0002-9394(15)00192-0. doi: 10.1016/j.ajo.2015.04.004. [Epub ahead of print]
- PURPOSE: To evaluate the spectrum of retinal diseases that can demonstrate paracentral acute middle maculopathy and isolated ischemia of the intermediate and deep capillary plexus.DESIGN: Retrospective, multi-centered, observational case series METHODS: This is a retrospective case series review of
- PMID 25849522
- Optic nerve infarction in Sneddon's syndrome.
- Romera Romero P1, Monés Llivina A2, Blazquez Abisu A2, Sabala Llopart A2.
- Archivos de la Sociedad Espanola de Oftalmologia.Arch Soc Esp Oftalmol.2015 Apr;90(4):180-184. doi: 10.1016/j.oftal.2014.07.002. Epub 2014 Dec 17.
- CLINICAL CASE: We report a case of a 26 year old woman with Raynaud's phenomenon and livedo reticularis 2 years onset, who presented with visual field defects accompanied by hypertension, hematuria, and headache. The examination revealed multiple retinal and optic nerve head infarcts in both eyes.DI
- PMID 25529358
- Ocular ischemic syndrome presenting as retinal vasculitis in a patient with moyamoya syndrome.
- Papavasileiou E1, Sobrin L, Papaliodis GN.
- Retinal cases & brief reports.Retin Cases Brief Rep.2015 Spring;9(2):170-2. doi: 10.1097/ICB.0000000000000129.
- PURPOSE: To report a case of ocular ischemic syndrome presenting as retinal vasculitis in a patient with Moyamoya syndrome.METHODS: A retrospective chart review was conducted to record clinical data including fluorescein angiography, optical coherence tomography, and serologic testing. A review of t
- PMID 25799075
Japanese Journal
- 臨床報告 低用量ピル内服中に網膜血管炎に伴う傍中心窩黄斑虚血がみられたBehcet病疑いの1例
- A patient with acute macular neuroretinopathy and central retinal vein occlusion
- 若年女性に発症した視神経乳頭炎に起因する網膜中心静脈閉塞症の1例
Related Links
- Wacker WB, Lipton MM. Experimental allergic uveitis: homologous retina as uveitogenic antigen. Nature. 1965 Apr 17; 206 (981):253–254. [PubMed] Stanford MR, Graham EM, Kasp E, Brown EC, Dumonde DC, Sanders MD. Retinal ...
- Rosenbaum JT, Robertson JE, Jr, Watzke RC. Retinal vasculitis--a primer. West J Med. 1991 Feb; 154 (2):182–185. [PMC free article] [PubMed] Rosenbaum JT, Robertson JE, Jr, Watzke RC. Retinal vasculitis--a primer. West J Med. 1991 Feb; ...
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- 11-cis-retinal、retina、retinae、retinaldehyde, retinol