What Is Chorioretinitis?
Divided by the extent of the lesion: 1. Diffuse choroiditis. (dffusechorioiditis) is the fusion of multiple exudative lesions into a single piece, showing a large atrophic spot in the later stage, and the tissue between the lesions is normal. 2, disseminated choroiditis: (disseminatedchorioiditis) lesions scattered, different sizes. 3, localized choroiditis: (circumseribedchorioiditis) lesions are limited to a certain part of the fundus, the macular area is more common.
Choroid retinitis
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- The etiology of choroidal retinitis is diverse and related to vasospasm, local blood circulation disorders, mental excitement or tension, excessive mental and physical exertion, allergic reactions, infectious lesions, and endocrine disorders. On the basis of clinical diagnosis and treatment, we have strengthened nursing and achieved very good results. Choroid and retina are close to each other, and choroid retinitis is often diagnosed because it affects the retina when it is inflamed. Choroid retinitis is a common ocular fundus disease, which is similar to "sight-seeing faintness", "blue blindness", "looking straight like a song", "seeing confusion", "orthotropia" recorded in the motherland medicine. Choroidal retinitis is mainly manifested by conscious blurred vision, dark center, and discoloration and deformation of vision. Choroidal retinitis is mainly manifested by conscious blurred vision, dark center, and discoloration and deformation of vision.
- Chinese name:
- Choroid retinitis
- Visiting department:
- Facial features
- Divided by the extent of the lesion: 1. Diffuse choroiditis. (dffusechorioiditis) is the fusion of multiple exudative lesions into a single piece, showing a large atrophic spot in the later stage, and the tissue between the lesions is normal. 2, disseminated choroiditis: (disseminatedchorioiditis) lesions scattered, different sizes. 3, localized choroiditis: (circumseribedchorioiditis) lesions are limited to a certain part of the fundus, the macular area is more common.
- Because the choroid has no sensory nerves, the patient has no pain. In the early stage of inflammation, the photoreceptor cells of the retina are stimulated, and there may be a flash of light in front of the eyes. When the inflammatory product enters the vitreous body, it appears as vitreous opacity, and there are black spots floating in front of the eyes, and the visual acuity decreases to varying degrees. The degree of vitreous opacity increases with the development of inflammation. When the macular area is affected by edema, the arrangement of photoreceptor cells changes, subjective vision is deformed, the vision is large and small, and vision is sharply reduced. Night blindness can be manifested when the peripheral retina is extensively damaged. Visual field examination has solid or virtual dark spots.
- (1) Visual acuity is reduced, and the visual object deforms, becomes smaller, becomes larger, or becomes discolored. (2) There is a central dark spot in the field of vision. (3) Macular edema, dark red, disappearance of central reflection, yellow-white, off-white exudate, leaving small bleeding spots. Spots or pigmentation remain after exudation. (4) Changes in fluorescein fundus vasculature (FFA) angiography: In the early posterior pole, macular areas can be seen with strong fluorescence spots (transparent fluorescence) in the multi-pigmented depigmented area, which is enhanced with the increase of background fluorescence, and later, there are some fluorescent spots It is still bright after the background fluorescence disappears, but it does not increase, which is caused by pigment epithelium staining.
- Check that the outer eye is normal. Under the ophthalmoscope, you can see that the dots and flocs in the vitreous body are suspended and move against the direction of eyeball rotation. In the acute phase, there were yellowish white, patchy exudation, and some fusion. The lesion was slightly raised, which was due to choroidal vasodilation and enhanced permeability, which caused localized edema and cell infiltration. The retina can also be affected in the corresponding part of the lesion. After the lesion is absorbed, there is no trace in mild cases, and pigment loss or reproduction occurs in severe cases due to pigment epithelial lesions. Exposure, forming a typical black and white atrophic spots.
- 1. Find the cause: treat the original disease and remove the cause. 2. Corticosteroids: 0.75-1.5 mg of dexamethasone, orally every 6-8 hours; 25-50 mg of ACTH or 10 mg of dexamethasone added to 500-1000 ml of 5% glucose solution, once daily, intravenous drip . If you want to strengthen the local drug concentration, you can use dexamethasone 2.0 mg and torasulin 12.5 mg after injection, once a week. 3. Immunosuppressive and non-hormonal anti-inflammatory drugs and antibiotics; refer to the treatment of iridocyclitis. 4, systemic medication, vasodilators, energy mixtures, vitamin drugs and so on.
- Western medicine uses niacin, vitamin B 1, B 12, adenosine triphosphate and so on. Because choroidal retinitis is prone to relapse, in addition to avoiding excessive mental labor, excessive excitement and stimuli after the recovery period, the traditional Chinese medicine based on Liuwei Dihuang Wan should be frequently taken to consolidate the curative effect and reduce recurrence. The compound Danshen injection can also be added to 5% GS500ml intravenously to strengthen the function of promoting blood circulation and removing blood stasis. Modern studies have shown that: Fufang Danshen injection can significantly improve blood viscosity, reduce blood viscosity, accelerate blood flow, and reduce intravascular pressure; because of its calcium ion blocking effect, it can expand blood vessels and increase blood volume. Improve the microcirculation of the heart and other organs; also inhibit platelet adhesion, aggregation and release. By treatment, the arteriolar spasm in the macular region is relieved, and the fundus microcirculation function is improved.
- (1) Healing: The exudation of macular edema at the fundus disappears, and the fossa reflex can be seen. Visual acuity returned to 1.0 or more, and the dark shadows disappeared. (2) Significant effect: Most of the fundus macular edema subsided, and vision improved by more than 4 lines. (3) Improved: Macular lesions of the fundus slightly improved, and vision improved by 1 to 3 lines. (4) Ineffective: there is no change in visual acuity or improvement of less than 1 line as before treatment.
- (1) Psychological nursing eyes can be seen clearly, and distinguishing colors is dependent on the nourishment of essence, vitality and balance between yin and yang. "Introduction to Medicine" contains: "Seven emotions of internal injuries, overjoyed, can't be the main blood. Furious hurts the liver, can't hide the blood, accumulated sorrow, hurt the lungs, think about hurting the spleen, lose heart and hurt the kidney, can move blood" Visceral dysfunction is difficult to achieve successfully only by medication. First of all, it is necessary to master the patient's thoughts and mental state, pay attention to the patient's bad mood, and provide enthusiastic and patient guidance for the complicated psychology of patients who desire to regain their vision or improve their vision. Confidence in curing eye diseases. At the same time regulate the complex psychology of patients. Actively enlighten the patient from all aspects, gradually explain to the patient, and relieve the patient's concerns.
- (2) Choroidal retinitis diet care Diet care is very important in this disease. "Three points of treatment and seven points of tonic" and a reasonable diet can play a role in promoting each other with drugs. As stated in the "Inner Canon": "The essence of the husband's five internal organs and the six internal organs are all affected by the spleen and permeate the eyes. "Everything is lost can not be attributed to the same concubine." Therefore, the diet emphasizes tonicity, mainly eat red dates, barley kernels, yam, codonopsis, astragalus and so on. Targeting the patient's condition.
- (3) After living care, because of the encapsulation of the operation eye, which affects the quality of life, talk with patients more, understand the observation of the disease and the condition of the operation eye, and give life help at the same time.