肾上腺腺瘤致浆液性脉络膜视网膜病变合并渗出性视网膜脱离一例

Adrenal adenoma presenting as serous chorioretinopathy complicated by exudative retinal detachment:a case report

患者女性,33岁,突发视力下降20余天,既往有结缔组织病史,无激素用药史。眼底表现为多发性中心性浆液性脉络膜视网膜病变合并视网膜脱离,经肾上腺CT检查发现肾上腺腺瘤,肿瘤切除后,患者视功能及视网膜结构明显改善,术后随访9个月病情稳定,未复发。

The case is presented on a 33-year-old woman with sudden vision loss for more than 20 days without a history of steroid use either locally or systemically.There was a history of connective tissue disease.The fundus fluorescein angiogram and optical coherence tomography showed multiple central serous chorioretinopathy(CSC)complicated by exudative retinal detachment(ERD).Meanwhile,the computed tomography of the adrenal suggested an adrenal adenoma.After complete tumor resection,the visual and anatomical functions of this patient have been significantly improved.Moreover,recurrence of CSC complicated by ERD was not observed during 9 months clinical follow-up after surgery.