Komatsu H, Sano A, Yoneya S
Department of Ophthalmology, Saitama Medical School, Japan.
Nippon Ganka Gakkai Zasshi. 2000 Jan;104(1):51-6.
Optic disc drusen accompanied by angioid streaks is rarely seen in Japan. Laser photocoagulation for choroidal neovascularization (CNV) in patients with angioid streaks is controversial.
A 45-year-old woman presented with bilateral papilledema. Clinical examination revealed optic disc drusen and angioid streaks. During the follow-up period, juxtapapillary CNV developed in both eyes. CNV in the right eye developed progressively towards the fovea and was eventually treated by laser, but the CNV in the left eye regressed spontaneously.
These are the first precise clinical records on optic disc drusen with angioid streaks to be reported. The outcome of laser treatment for CNV in this case was favorable, because alteration of Bruch's membrane was mild, in the form of angioid streaks.
在日本，伴有血管样条纹的视盘玻璃疣很少见。对于血管样条纹患者的脉络膜新生血管（CNV）进行激光光凝治疗存在争议。
一名45岁女性出现双侧视乳头水肿。临床检查发现视盘玻璃疣和血管样条纹。在随访期间，双眼均出现了视乳头旁CNV。右眼的CNV逐渐向黄斑中心凹发展，最终接受了激光治疗，但左眼的CNV自发消退。
这些是首次报道的关于伴有血管样条纹的视盘玻璃疣的精确临床记录。该病例中CNV的激光治疗效果良好，因为 Bruch 膜的改变较轻，呈血管样条纹形式。
