Delyfer Marie N, Rougier Marie B, Fourmaux Eric, Cousin Philippe, Korobelnik Jean-François
Department of Ophthalmology, Bordeaux University Hospital, Bordeaux, France.
Acta Ophthalmol Scand. 2004 Apr;82(2):236-8. doi: 10.1111/j.1600-0420.2004.00231.x.
To report two cases of choroidal neovascular membrane associated with optic disc drusen which were successfully treated using argon laser photocoagulation.
Choroidal neovascular complications of optic disc drusen were diagnosed in two of our patients, a 36-year-old woman and a 14-year-old girl. In both cases visual acuity was 20/100 in the affected eye. Fundus examination and angiography revealed a choroidal neovascular membrane. Computer tomography identified bilateral calcified drusen of the optic discs. Photocoagulation of neovascular tissues was immediately performed.
Visual acuity improved progressively, reaching 20/20 10 months after treatment in one case and 20/30 in the other. No recurrence was observed during follow-up.
Early diagnosis and immediate laser photocoagulation of vision-threatening choroidal neovascular membranes associated with optic disc drusen helps stop progression towards the macula and improves longterm visual acuity.
报告两例与视盘玻璃膜疣相关的脉络膜新生血管膜病例，这两例均通过氩激光光凝成功治疗。
我们的两名患者被诊断为视盘玻璃膜疣并发脉络膜新生血管，一名36岁女性和一名14岁女孩。在这两例中，患眼视力均为20/100。眼底检查和血管造影显示有脉络膜新生血管膜。计算机断层扫描发现双侧视盘钙化玻璃膜疣。立即对新生血管组织进行光凝。
视力逐渐改善，一例在治疗10个月后达到20/20，另一例达到20/30。随访期间未观察到复发。
对视盘玻璃膜疣相关的威胁视力的脉络膜新生血管膜进行早期诊断并立即进行激光光凝，有助于阻止向黄斑区发展，并提高长期视力。
