Huot Christopher S, Desai Komal B, Shah Vinay A
Department of Ophthalmology, University of Missouri Kansas City School of Medicine, Missouri 64108, USA.
Ophthalmic Surg Lasers Imaging. 2009 May-Jun;40(3):322-4. doi: 10.3928/15428877-20090430-19.
A 17-year-old girl presented with slow, progressive, painless visual deterioration in the left eye. Fundus examination and fluorescein angiography findings were consistent with combined hamartoma of the retina and retinal pigment epithelium. Spectral domain optical coherence tomography (SD-OCT) displayed a preretinal membrane, retinal disorganization, and thickened retina drawn into folds. Partial posterior vitreous detachment was noted. The higher-resolution scans delineated the transition between the tumor and normal retina. The higher resolution of SD-OCT allows detailed observation of the vitreoretinal interface abnormalities and retinal disorganization present in combined hamartomas of the retina and retinal pigment epithelium and aids in the differential diagnosis and management of pigmented fundus lesions.
一名17岁女孩出现左眼缓慢、进行性、无痛性视力减退。眼底检查和荧光素血管造影结果与视网膜和视网膜色素上皮联合错构瘤相符。光谱域光学相干断层扫描（SD-OCT）显示视网膜前膜、视网膜结构紊乱以及增厚的视网膜形成褶皱。注意到部分玻璃体后脱离。更高分辨率的扫描描绘了肿瘤与正常视网膜之间的过渡。SD-OCT的更高分辨率能够详细观察视网膜和视网膜色素上皮联合错构瘤中存在的玻璃体视网膜界面异常和视网膜结构紊乱，有助于色素性眼底病变的鉴别诊断和处理。
