Xu Liang, Xie Xi Wei, Jonas Jost B
Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital University of Medical Schience, Beijing, China.
Ophthalmic Surg Lasers Imaging. 2009 Nov-Dec;40(6):600-1. doi: 10.3928/15428877-20091030-13.
The authors describe a 34-year-old woman who presented with headaches and marked papilledema after she had been taking oral hormonal therapy for the treatment of dysfunctional uterine bleeding. Neurological examination led to the diagnosis of a cerebral venous sinus thrombosis. After thrombolytic treatment, the headaches vanished and the papilledema in the right eye disappeared. Visual acuity increased to 20/25 in the right eye and 20/32 in the left eye. However, the marked papilledema in the left eye had resulted in a pronounced contraction of the posterior vitreous at the optic nerve head associated with a secondary folding of the macula and subretinal pigmentary irregularities in the foveal region.
作者描述了一名34岁女性，她在接受口服激素治疗功能失调性子宫出血后出现头痛和明显的视乳头水肿。神经学检查诊断为脑静脉窦血栓形成。溶栓治疗后，头痛消失，右眼视乳头水肿消退。右眼视力提高到20/25，左眼视力提高到20/32。然而，左眼明显的视乳头水肿导致视神经乳头处玻璃体后脱离明显收缩，并伴有黄斑继发性折叠和黄斑区视网膜下色素不规则。
