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[临床孤立性牵牛花综合征]

[Clinically isolated Morning glory syndrome].

作者信息

Schneider C, Cayrol D, Arnaud B, Schmitt-Bernard C F

机构信息

Service d'ophtalmologie, CMC Gui de Chauliac, CHU Montpellier, 80 avenue Augustin Fliche, 34295 Montpellier Cedex 5 France.

出版信息

J Fr Ophtalmol. 2002 Feb;25(2):178-81.

Abstract

The Morning glory syndrome is an uncommon congenital optic disk anomaly. It is characterized by a funnel-shaped and enlarged dysplasic optic disk with white tissue, and retinal vessels arising from the periphery of the disk and running an abnormally straight course over the peripapillary retina. We report here the case of a 7-year-old girl with a delayed diagnosis of Morning glory syndrome discovered at a regular examination that showed amblyopia. The optic disk anomaly was isolated. The search for other associated morphological and/or functional abnormalities is mandatory (retinal and/or cerebral malformation, frontonasal dysplasia, endocrine irregularities, neurofibromatosis type 2). Periodic ophthalmological examinations are recommended due to the frequency of retinal detachment.

摘要

牵牛花综合征是一种罕见的先天性视盘异常。其特征为视盘呈漏斗状且扩大、发育异常,伴有白色组织,视网膜血管从视盘周边发出,并在视盘周围视网膜上走行异常笔直。我们在此报告一例7岁女孩的病例,她在一次常规检查中被发现患有牵牛花综合征且诊断延迟,同时伴有弱视。视盘异常为孤立性。必须排查其他相关的形态学和/或功能异常(视网膜和/或脑畸形、额鼻发育异常、内分泌紊乱、2型神经纤维瘤病)。由于视网膜脱离的发生率较高,建议定期进行眼科检查。

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