与视盘小凹相关的长期中心性浆液性黄斑脱离后的视力改善
Visual improvement after long-standing central serous macular detachment associated with an optic disc pit.
作者信息
Patton Niall, Aslam Sher A, Aylward G W
机构信息
Department of Vitreoretinal Surgery, Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD, UK.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2008 Aug;246(8):1083-5. doi: 10.1007/s00417-008-0824-5. Epub 2008 May 6.
BACKGROUND
Approximately 50% of cases of congenital optic disc pits are associated with serous macular detachment. Long-standing serous detachments (over 1 year) with poor initial presenting acuity are usually associated with cystic degeneration of the macula and loss of pigment from the underlying retinal pigment epithelium, with resultant poor visual outcome.
METHODS
A 43-year-old male presented with an optic disc pit and associated serous elevation of the macular region with cystic changes at the fovea.
RESULTS
Over the following 2 years, the patient was aware of an improvement in vision, and acuity improved from 1/60 to 6/18 with resolution of subretinal fluid, as evidenced on optical coherence tomography.
CONCLUSIONS
We report an unusual case of an optic disc pit associated with a long-standing serous macular detachment that resolved gradually over a 2.5-year period and, despite very poor presenting visual acuity, demonstrated eventual visual recovery.
背景
约50%的先天性视盘小凹病例与浆液性黄斑脱离有关。长期存在的浆液性脱离（超过1年）且初始视力较差通常与黄斑囊性变性以及视网膜色素上皮下层色素脱失有关，导致视力预后不佳。
方法
一名43岁男性患者，表现为视盘小凹及黄斑区浆液性隆起，黄斑中心凹有囊性改变。
结果
在接下来的2年里，患者意识到视力有所改善，视力从1/60提高到6/18，视网膜下液消退，光学相干断层扫描证实了这一点。
结论
我们报告了一例不寻常的病例，该病例为视盘小凹合并长期浆液性黄斑脱离，在2.5年的时间里逐渐消退，尽管初始视力很差，但最终视力得以恢复。
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