중심와를 침범한 감염성 포도막염에서 발생한 황반원공의 자연폐쇄 1예

• 영문명: A Case of Spontaneous Closure of Macular Hole in Infectious Posterior Uveitis Involving the Fovea
• 발행기관: 대한안과학회
• 저자명: 김민우(Min Woo Kim) 김동윤(Dong Yoon Kim) 김윤전(Yoon Jeon Kim) 조수근(Soo Geun Joe) 이주용(Joo Yong Lee) 김중곤(June Gone Kim)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume57,number1, 155~160쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2016.01.30

영문 초록

Purpose: To report a case of macular hole secondary to presumptive infectious posterior uveitis involving the fovea that spontaneously resolved after medical treatment. Case summary: A 33-year-old male visited our clinic for decreased visual acuity in his left eye. He was treated with immunosuppressive therapy including steroid after bone marrow transplantation. Best corrected visual acuity (BCVA) was 0.05 in the left eye. Slit lamp examination showed mild anterior vitritis, and fundus examination showed a macular hole with surrounding whitish infiltration at the fovea. Spectral domain optical coherence tomography (SD-OCT) revealed a full thickness macular hole with surrounding hyper-reflective masses with an infiltration-like appearance involving all retinal layers. Serum anti-toxocara IgG was positive (ELISA), and eosinophil count and immunoglobulin E was elevated. Under diagnosis of presumptive ocular toxocariasis, the patient was treated with albendazole. After medical treatment for toxocariasis, the whitish foveal infiltration became smaller and more discrete. SD-OCT revealed spontaneous closure of the macular hole, and BCVA was improved to 0.4 after a 4-month follow-up. Conclusions: We report a macular hole complicated by presumptive infectious posterior uveitis that experienced spontaneous closure after medical treatment for underlying infection.

키워드

Macular hole Posterior uveitis Spontaneous closure Toxocariasis