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在全色素膜炎的病人中约四分之一为Behcet综合征。眼底荧光血管造影对本病的诊断能提供有价值的鉴别资料。现将2例临床诊断为色素膜炎,而经眼底荧光血管造影检查后确诊为“Behcet综合征”的典型病例报告如下:例1,孙某,男,26岁。双眼反复发作色素膜炎1年半,在外院按色素膜炎治疗无好转,转我院做眼底荧光血管造影检查。视力:右0.6,左0.1,矫正无进步,眼前段未发现异常,眼底:乳头色正边清,黄斑部视网膜水肿,有硬性渗出灶。造影所见视盘及其周围毛细血管扩张并渗漏,颞侧尤其显著,网膜毛细血管普遍扩张渗漏,而血管干几乎无渗漏,动脉两侧的无毛细血管带呈暗色条纹,左眼颞侧色素增殖遮蔽荧光,黄斑区呈轻度囊样水肿,后期背景荧光减弱,使毛细血管分布区的渗漏和大血管两侧的弱荧光带更加醒目。
About a quarter of all patients with uveitis are Behcet’s syndrome. Fundus fluorescein angiography on the diagnosis of the disease can provide valuable identification information. Now 2 cases of clinical diagnosis of uveitis, and after fundus fluorescein angiography confirmed as “Behcet syndrome” typical cases are as follows: Example 1, Sohn, male, 26 years old. Eyes repeated episodes of pigmentitis 1 and a half years, no improvement in the outer hospital treatment by pigmented meningitis, turn our hospital fundus fluorescein angiography. Visual acuity: right 0.6, left 0.1, no improvement in the anterior segment, no abnormalities were found. Fundus: papillary positive side clear, macular retinal edema, a hard oozing. Contrast and visualization of the capillaries around the dilatation and leakage, especially in the temporal side, the general expansion of retinal capillary leakage, and almost no leakage of arterial stem, arterial capillary bands on both sides of dark stripes, the left eye Temporal pigment hyperchromatic occlusion fluorescence, mild cystoid macular edema, the latter part of the background fluorescence weakened, so that the leakage of capillary distribution and weak blood vessels on both sides of the fluorescent band more eye-catching.