Benhamou Nathanael, Messas-Kaplan Audrey, Cohen Yuval, Gaudric Alain, Souied Eric H, Soubrane Gisele, Avni Isaac
Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, Israel.
Am J Ophthalmol. 2004 Aug;138(2):294-6. doi: 10.1016/j.ajo.2004.02.076.
To report the morphologic data of adult-onset foveomacular vitelliform dystrophy (AFVD) provided by third-generation optical coherence tomography (OCT 3).
Observational case report.
An 85-year-old woman presenting with AFVD underwent fundus biomicroscopy, fluorescein angiography, and OCT examination.
Fundus examination disclosed a round, elevated yellowish lesion, centered by a pigmented spot, in the macula of the left eye. Examination with OCT disclosed an area of hyperreflectivity located between the retinal pigment epithelium layer and the photoreceptor layer, compatible in size with the yellowish elevated lesion. The hyperreflective line corresponding to the photoreceptor layer was elevated by the material and separated from the retinal pigment epithelium layer.
In AFVD, examination with OCT 3 demonstrates elevation of the photoreceptor layer by the material and supports the previous hypothesis that the material is located between the photoreceptor and the retinal pigment epithelium layer.
报告第三代光学相干断层扫描（OCT 3）提供的成人发病型黄斑中心凹卵黄样营养不良（AFVD）的形态学数据。
观察性病例报告。
对一名患有AFVD的85岁女性进行了眼底生物显微镜检查、荧光素血管造影和OCT检查。
眼底检查发现左眼黄斑区有一个圆形、隆起的淡黄色病变，以一个色素沉着斑点为中心。OCT检查发现视网膜色素上皮层和光感受器层之间有一个高反射区，其大小与淡黄色隆起病变相符。对应于光感受器层的高反射线被该物质抬高，并与视网膜色素上皮层分离。
在AFVD中，OCT 3检查显示该物质使光感受器层抬高，并支持了之前关于该物质位于光感受器和视网膜色素上皮层之间的假设。
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