Cohen Salomon Yves, Dubois Lise, Ayrault Sandrine, Quentel Gabriel
Centre Ophtalmologique d'Imagerie et de Laser, Paris - France.
Eur J Ophthalmol. 2009 Sep-Oct;19(5):876-9. doi: 10.1177/112067210901900532.
Many complications associated with tilted disk syndrome may occur in the area bordering on the inferior staphyloma, including macular pigmentary changes, choroidal neovascularization, macular serous retinal detachment, polypoidal choroidal vascular anomalies, and radially orientated chorioretinal folds. The purpose of the present article is to describe an additional complication, T-shaped pigmentary changes, orientated radially from the border of the inferior staphyloma, in eyes with tilted disk syndrome.
Retrospective series of 6 eyes of 6 patients (3 men and 3 women) aged from 35 to 67 years. All eyes were studied by fluorescein angiography.
All 6 eyes exhibited pigmentary changes located along the border of the staphyloma, and also radially to it, giving a particular T-shaped pattern of pigmentary changes. These changes were visible as either a linear strip or a triangular or oval-shaped area. Three eyes had a documented history of subretinal leakage that mimicked central serous chorioretinopathy, a well-known complication of tilted disk syndrome.
T-shaped pigmentary changes may develop in the course of tilted disk syndrome, and should be added to the list of this syndrome's possible retinal complications. These changes may indicate the presence of chronic leakage in the area around the superior border of the inferior staphyloma.
许多与倾斜盘综合征相关的并发症可能发生在与下方葡萄肿接壤的区域，包括黄斑色素变化、脉络膜新生血管形成、黄斑浆液性视网膜脱离、息肉样脉络膜血管病变以及放射状排列的脉络膜视网膜皱褶。本文的目的是描述倾斜盘综合征患者眼中一种额外的并发症，即从下方葡萄肿边缘呈放射状排列的T形色素变化。
对6例患者（3男3女）的6只眼睛进行回顾性研究，年龄在35至67岁之间。所有眼睛均接受荧光素血管造影检查。
所有6只眼睛均表现出沿葡萄肿边缘以及向其呈放射状的色素变化，呈现出一种特殊的T形色素变化模式。这些变化表现为线状条纹或三角形或椭圆形区域。3只眼睛有视网膜下渗漏的记录病史，类似于中心性浆液性脉络膜视网膜病变，这是倾斜盘综合征的一种众所周知的并发症。
T形色素变化可能在倾斜盘综合征病程中出现，应添加到该综合征可能的视网膜并发症列表中。这些变化可能表明下方葡萄肿上缘周围区域存在慢性渗漏。
