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NR 4-5/2004
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Objawy oczne w
zespole przeciwciał przeciwfosfolipidowych. Opis pacjenta
Ophthalmic signs in
antiphospholipid syndrome. Patient description
Roman Sobecki1, Danuta
Korporowicz1, Katarzyna Terpińska-Pakuła2
1Z Oddziału Okulistycznego Centralnego Szpitala
Kolejowego w Warszawie
Ordynator: dr n. med. Roman Sobecki
2Z Oddziału Chorób Wewnętrznych Centralnego Szpitala
Kolejowego w Warszawie
Ordynator: dr n. med. Jacek Imiela |
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| Summary: |
Purpose:
presentation of 35-years old women with antiphospholipid
syndrome (APS).
Material and methods: The diagnosis of APS was
based on the presence of visual lowering, vascular
changes and raised levels of antiphospholipid antibodies,
deep venous thrombosis and recurrent fetal loss. She
suffered from bilateral visual obstructions. She
presented incipient cataract in both eyes, retinal
discrete narrowing of the arteries and venous dilatation.
On the far periphery of the right eye fundus: venous
tortuosity and dilatation, cotton-wool spots and
hemorrhages. Fluorescein angiography showed in the
arteriovenous phase leakage from the changed vessels,
which was treated with laser argon photocoagulation.
Results: on follow-up examination a six weeks
later the visual acuity in the right eye had improved
and other vessels disturbances were not found.
Conclusions: presented characteristic general and
ophthalmic signs point to APS. |
| Słowa kluczowe: |
choroba zakrzepowa,
zaburzenia wzrokowe, zespół przeciwciał
przeciwfosfolipidowych. |
| Key words: |
thrombophilic disorder,
visual disturbances, antiphospholipid syndrome. |
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