Habib Maged S, Byrne Sinead, McCarthy John H, Steel David H W
Sunderland Eye Infirmary, Queen Alexandra Road, Sunderland, SR2 9HP, UK.
BMC Ophthalmol. 2006 Jan 13;6:3. doi: 10.1186/1471-2415-6-3.
Few previous reports have described the presence of retinal refractile opacities at the macular area in patients presenting with longstanding peripheral retinal detachment. The exact nature of these opacities is unknown.
Two patients were referred with an abnormal appearance of refractile opacities in the macular area noted during routine examination. Both were found to have longstanding peripheral retinal detachments. Subretinal fluid analysis of one patient revealed the presence of multiple birefringent crystals. We hypothesise that these crystals are the origin of the refractile macular opacities noted.
This report describes the rare presentation of asymptomatic peripheral retinal detachment by the detection of refractile macular opacities on routine examination. It highlights the importance of meticulous peripheral retinal examination in these cases. The article also describes the findings of the subretinal fluid analysis and discusses the possible hypothesis behind their appearance.
以往很少有报告描述长期周边视网膜脱离患者黄斑区出现视网膜折射性混浊的情况。这些混浊的确切性质尚不清楚。
两名患者在常规检查中被发现黄斑区有异常的折射性混浊外观。两人均被发现有长期周边视网膜脱离。对其中一名患者的视网膜下液分析显示存在多个双折射晶体。我们推测这些晶体是所观察到的黄斑区折射性混浊的来源。
本报告描述了通过常规检查发现折射性黄斑混浊而罕见呈现的无症状周边视网膜脱离。它强调了在这些病例中仔细进行周边视网膜检查的重要性。本文还描述了视网膜下液分析的结果，并讨论了其出现背后的可能假设。
