慢性日光性视网膜病变的共焦扫描激光眼科检查结果

Confocal scanning laser ophthalmoscopy findings in chronic solar retinopathy.

作者信息

Charbel Issa Peter, Fleckenstein Monika, Scholl Hendrik P N, Holz Frank G, Meyer Carsten H

机构信息

Department of Ophthalmology, University of Bonn, Ernst-Abbe-Strasse 2, 53127 Bonn, Germany.

出版信息

Ophthalmic Surg Lasers Imaging. 2008 Nov-Dec;39(6):497-9. doi: 10.3928/15428877-20081101-04.

DOI:10.3928/15428877-20081101-04

PMID:19065982

Abstract

A 68-year-old man with solar retinopathy had a lamellar foveal lesion on ophthalmoscopy and optical coherence tomography in one eye while the fellow eye appeared unremarkable. However, macular imaging by means of confocal scanning laser ophthalmoscopy (reflectance imaging and autofluorescence) revealed alterations in both eyes. Visual deterioration due to solar retinopathy may be a diagnostic challenge and the patient's history may be incomplete. The authors recommend including noninvasive confocal scanning laser ophthalmoscopy imaging in the work-up of unexplained visual disturbances because it may add important information beyond ophthalmoscopy and other imaging techniques.

摘要

一名患有日光性视网膜病变的68岁男性，一只眼睛在检眼镜和光学相干断层扫描检查时发现有黄斑板层病变，而另一只眼睛外观无异常。然而，通过共焦扫描激光检眼镜进行的黄斑成像（反射成像和自发荧光）显示双眼均有改变。日光性视网膜病变导致的视力下降可能是一个诊断难题，而且患者的病史可能不完整。作者建议在不明原因视力障碍的检查中纳入非侵入性共焦扫描激光检眼镜成像，因为它可能提供除检眼镜检查和其他成像技术之外的重要信息。