19歳若年者に発症した網膜中心静脈閉塞症に伴う漿液性網膜剝離の1例

Central retinal vein occlusion with serous retinal detachment in a patient aged nineteen years

要約　目的：19歳で発症した網膜中心静脈閉塞症に漿液性網膜剝離が併発した症例の報告。症例：高血圧や糖尿病などの全身疾患がない19歳男性が4週間前からの左眼霧視で受診した。矯正視力は右1.5，左0.7で，左眼に網膜静脈の拡張と蛇行，網膜出血，乳頭腫脹，黄斑浮腫があった。光干渉断層計で黄斑部に網膜の膨化と漿液性剝離があった。蛍光眼底造影所見は非虚血型であった。漿液性網膜剝離は1か月後に増加，2か月後に消失し，視力は1.0になった。4か月後に網膜の出血，静脈拡張，漿液性剝離は消失した。結論：本症例は副腎皮質ステロイドの投与なしに寛解した若年発症の網膜中心静脈閉塞症に併発した高度の漿液性網膜剝離である。

Abstract.　Purpose：To report a young patient of central retinal vein occlusion with serous retinal detachment. Case：A 19-year-old male presented with blurring of left eye since 4 weeks before. He was free of systemic hypertension or diabetes. Corrected visual acuity was 1.5 right and 0.7 left. His left eye showed dilated and tortuous retinal veins,retinal hemorrhage,disc swelling and macular edema. Optical coherence tomography showed retinal swelling and serous detachment in the macula. Fluorescein angiography indicated nonischemic central retinal vein occlusion. Serous retinal detachment increased one month later and disappeared 2 months later with improved visual acuity to 1.0. Retinal hemorrhage,venous dilatation and serous retinal detachment disappeared 4 months later. Conclusion：This case is characterized by onset at an early age and central retinal vein occlusion with serous retinal detachment that healed without recourse to systemic corticosteroid.