硝子体出血を来したブドウ膜炎を合併したオーム病の1例

Uveitis with vitreous hemorrhage developed in a case of ornitosis

　症例は左視力低下を主訴として来院した14歳の男性で，左眼乳頭上に増殖性病変を伴うブドウ膜炎がみられ，経過観察中に硝子体出血を来した．初診時視力は右眼1.2（n．c．），左眼1.0（n．c．）であった．髄液および血清を検査した結果，補体結合反応ならびにPsittaciを使った螢光抗体法でオーム病と確定でき，ミノサイクリンの全身投与により，速やかに全身および眼症状の著明改善が得られた．現在，眼症状は消失し良好な視力を保っている．

A 14-year-old male presented with decreased vision in the left eye following sustained anorexia and general debility. In the left eye, we detected keratic precipitates and cells with flares in the anterior chamber. Funduscopy showed a whitish lesion supeiror to the macula in the right eye. In the left eye, the disc was swollen with numerous newly formed vessels as well as extensive retinal edema involving the macula with star-shaped deposits and periphlebitis in the periphery. The visual acuity was 1.2 right and 0.1 left.

One month later, vitreous hemorrhage developed in the left eye with reduction of vision to 0.02.Diagnosis of ornitosis was established by means of complement fixation test and fluorescent antibody test using Chlamydia psittaci.

Systemic minocycline led to recovery of vision to 1.2. No recurrences have been observed during the follow-up period of 12 months.

Rinsho Ganka (Jpn J Clin Ophthalmol) 42(10) : 1175-1179, 1988