Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 106-110.doi: 10.6040/j.issn.1673-3770.0.2021.426

• 论著 • Previous Articles    

A case report of Leber's idiopathic stellate neuroretinitis and literature review

WANG Qian, LIU Na, WANG Shaopeng   

  1. Department of Ophthalmology, Zibo Central Hospital, Zibo 255022, Shandong, China
  • Published:2022-12-07

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Abstract: Objective To discuss the diagnosis and treatment of Leber's idiopathic stellate neuroretinitis. Methods We reviewed the medical records of a 47-year-old male patient whose main complaint was that visual acuity of the right eye had beendecreased for 1 week and had worsened over the lastday. After systemic examination, fundus fluorescein angiography, and indocyanine green angiography, the patient was diagnosed with Leber's idiopathic stellate neuroretinitis in the right eye. The patient considered the side effects of the glucocorticoids and refused treatment. Results After 3 months of follow-up, the patient's vision improved to 0.8. Conclusion The etiology of Leber's idiopathic stellate neuroretinitis is unknown. It is necessary to exclude diseases with similar clinical manifestations but clear etiology. The first line of treatment for this disease is glucocorticoid anti-inflammatory therapy, which can be combined with antibiotics, antiviral, vasodilators and traditional Chinese medicine. The disease is self-limiting and generally has a good prognosis.

Key words: Neuroretinitis, Leber idiopathic stellate neuroretinitis, Fundus fluorescein angiography, Indocyanine green angiography, Glucocorticoid

CLC Number: 

  • R774
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