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多发性一过性白点综合征(MEWDS)的非典型表现。

Atypical presentation of multiple evanescent white dot syndrome (MEWDS).

作者信息

Yenerel Nursal Melda, Kucumen Beril, Gorgun Ebru, Dinc Umut Asli

机构信息

Yeditepe University Eye Hospital, Istanbul, Turkey.

出版信息

Ocul Immunol Inflamm. 2008 May-Jun;16(3):113-5. doi: 10.1080/09273940802026060.

Abstract

PURPOSE

To present fundus autofluorescence (FAF), indocyanine green angiography (ICGA), and microperimetry (MP) findings of a patient with multiple evanescent white dot syndrome (MEWDS).

METHODS

Observational case report.

RESULTS

A 30-year-old woman with blurry vision was referred for evaluation. Fundus examination revealed only foveal granularity. FAF showed hyperautofluorescent spots, although they were not visible clinically. On ICGA, matching areas were hypofluorescent. Microperimetry revealed mean sensitivity decrease. The resolution of the symptoms was followed by disappearance of these spots in FAF and ICGA and increase of mean macular sensitivity in MP.

CONCLUSION

FAF is a noninvasive imaging technique that might help in the differential diagnosis of chorioretinal pathologies.

摘要

目的

呈现一名多发性一过性白点综合征(MEWDS)患者的眼底自发荧光(FAF)、吲哚菁绿血管造影(ICGA)和微视野检查(MP)结果。

方法

观察性病例报告。

结果

一名30岁视力模糊的女性前来接受评估。眼底检查仅发现黄斑区颗粒状改变。FAF显示高自发荧光斑点,尽管临床上不可见。ICGA显示相应区域低荧光。微视野检查显示平均敏感度降低。症状缓解后,FAF和ICGA中的这些斑点消失,MP中的黄斑平均敏感度增加。

结论

FAF是一种无创成像技术,可能有助于脉络膜视网膜病变的鉴别诊断。

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