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羊膜带综合征中的脉络膜视网膜缺损

Chorioretinal lacuna in the amniotic band syndrome.

作者信息

Hashemi K, Traboulsi E I, Chavis R, Scribanu N, Chrousos G A

机构信息

Center for Sight, Georgetown University Medical Center, Washington, DC.

出版信息

J Pediatr Ophthalmol Strabismus. 1991 Jul-Aug;28(4):238-9. doi: 10.3928/0191-3913-19910701-12.

Abstract

The malformations in the amniotic band syndrome (ABS) are due to entrapment of fetal parts by fibrous band in the amniotic sac. Limbs are most commonly affected followed by craniofacial defects in one third of patients. Ocular defects include corneal leukomas and lid colobomas often contiguous with facial clefts, strabismus, hypertelorism, and microphthalmos. Unilateral chorioretinal defects or lacunae are rare findings in the ABS. We report a female infant with such a lacunar defect along with central nervous abnormalities, and discuss the differential diagnosis and the embryopathic implications.

摘要

羊膜带综合征(ABS)中的畸形是由于羊膜囊内的纤维带缠住胎儿身体部分所致。四肢最常受累,三分之一的患者伴有颅面缺陷。眼部缺陷包括角膜白斑和睑裂,常与面部裂隙相邻,还有斜视、眼距过宽和小眼畸形。单侧脉络膜视网膜缺损或腔隙在羊膜带综合征中是罕见的表现。我们报告了一名患有这种腔隙缺损及中枢神经异常的女婴,并讨论了鉴别诊断及胚胎病变的意义。

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