Kim Joshua W, Boes David A, Kinyoun James L
Department of Ophthalmology, University of Washington, Seattle, WA 98195-6485, USA.
Am J Ophthalmol. 2004 Sep;138(3):480-1. doi: 10.1016/j.ajo.2004.03.015.
To report a case of retinoschisis and dialysis associated with bilateral posterior microphthalmos and papillomacular fold.
Observational case series.
Complete ophthalmologic examination of three of five siblings presenting with bilateral posterior microphthalmos and papillomacular fold. Optical coherence tomography (OCT) data are presented to confirm the abnormal anatomy.
All subjects have bilateral elevated horizontal papillomacular retinal fold with cystoid macular edema and shallow subretinal fluid. Optical coherence tomography was consistent with our examinations. One subject, a 13-year-old Hispanic, initially presented with retinoschisis in the superotemporal quadrant of the left retina that developed 9 years later into a retinal dialysis without subretinal fluid. The right eye of this same patient developed retinoschisis in the far superotemporal retinal periphery during 9 years of observation.
Retinoschisis and dialysis may occur in patients with posterior microphthalmos with papillomacular fold. Optical coherence tomography may be helpful in assessing these patients.
报告一例与双侧后部小眼球及视乳头黄斑皱褶相关的视网膜劈裂和视网膜脱离病例。
观察性病例系列。
对五名患有双侧后部小眼球及视乳头黄斑皱褶的兄弟姐妹中的三名进行全面眼科检查。展示光学相干断层扫描（OCT）数据以确认异常解剖结构。
所有受试者均有双侧抬高的水平视乳头黄斑视网膜皱褶，伴有黄斑囊样水肿和浅视网膜下液。光学相干断层扫描结果与我们的检查一致。一名13岁的西班牙裔受试者最初在左眼视网膜颞上象限出现视网膜劈裂，9年后发展为无视网膜下液的视网膜脱离。在9年的观察期内，该患者右眼在视网膜极颞上周边出现视网膜劈裂。
后部小眼球合并视乳头黄斑皱褶的患者可能发生视网膜劈裂和视网膜脱离。光学相干断层扫描可能有助于评估这些患者。
