AIDS相关视网膜血管炎合并双眼黄斑缺血伴单眼视网膜黄斑支动脉阻塞1例

AIDS-Related Retinal Vasculitis Combined with Bilateral Ischemic Maculopathy with Retinal Macular Branch Artery Obstruction in One Eye: A Case Report

患者男性,28岁,因双眼视物模糊1周就诊于我院眼科,本例患者双眼眼底视网膜血管白鞘,后极部黄斑区星芒状渗出、出血及右眼黄斑水肿,荧光血管造影显示视网膜血管炎合并双眼黄斑缺血同时伴右眼视网膜分支动脉黄斑支阻塞。患者HIV检测阳性,结合全身及眼部检查,考虑其眼底病变与HIV感染相关。提示我们HIV相关眼病可以表现出非典型眼底改变,临床需加以鉴别。

The patient was a 28-year-old male with blurred vision in both eyes for 1 week. The patient pre-sented to the ophthalmology department of our hospital with a white sheath of retinal blood vessels in the fundus of both eyes, stellate exudation and hemorrhage in the posterior pole macular area and macular edema in the right eye. His fluorescence angiography showed retinal vasculitis com-bined with macular ischemia in both eyes along with obstruction of the macular arteries of the right retina. The patient tested positive for HIV and combined with systemic and ocular examination, was considered to have fundus lesions associated with HIV infection. This suggests that HIV- associated ophthalmopathy can present with atypical fundus changes, which need to be differentiated clinical-ly.