通过增强光学相干断层扫描成像的普尔绍视网膜病变后遗症。
Sequels of Purtscher's retinopathy imaged by enhanced optical coherence tomography.
作者信息
Soliman Wael, Zibrandtsen Nathalie, Jørgensen Thomas, Sander Birgit, Alsbirk Poul-Helge, Larsen Michael
机构信息
Department of Ophthalmology, Glostrup Hospital, University of Copenhagen, Denmark.
出版信息
Acta Ophthalmol Scand. 2007 Jun;85(4):450-3. doi: 10.1111/j.1600-0420.2006.00851.x.
PURPOSE
To report the optical coherence tomography (OCT) findings in a case of Purtscher's retinopathy.
METHODS
Enhanced optical coherence tomography, fundus photography, multifocal electroretinography.
RESULTS
A 27-years-old female parachutist demonstrated outer retinal opacification with small intraretinal hemorrhages and corresponding binocular pericentric ring scotomata one day after suffering an unusually abrupt arrest of a free fall upon the unfolding of her parachute. When seen 20 years later, the scotomata were unchanged and optical coherence tomography showed bilateral disorganization at the transition between the retinal photoreceptor outer segments and the retinal pigment epithelium plus attenuation of the outer nuclear layer.
CONCLUSIONS
Our observations document that the long term sequels of Purtscher's retinopathy are located in the outer segments of the photoreceptors.
目的
报告一例普尔彻氏视网膜病变的光学相干断层扫描（OCT）结果。
方法
增强光学相干断层扫描、眼底照相、多焦视网膜电图。
结果
一名27岁的女性跳伞运动员在降落伞展开后自由落体异常突然停止一天后，出现视网膜外层混浊伴小的视网膜内出血以及相应的双眼中心周围环形暗点。20年后复查时，暗点未变，光学相干断层扫描显示视网膜光感受器外段与视网膜色素上皮交界处双侧结构紊乱，外核层变薄。
结论
我们的观察结果表明，普尔彻氏视网膜病变的长期后遗症位于光感受器的外段。
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