Krohne T U, Bird A C, Friedlander M
Division of Ophthalmology, Scripps Clinic Torrey Pines, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA.
Ophthalmologe. 2010 Dec;107(12):1160-3. doi: 10.1007/s00347-010-2279-4.
We present clinical images of a case of Leber's idiopathic stellate neuroretinitis (LISN). A 34-year-old male presented with acute-onset unilateral blurred vision for 5 days. Clinical examination revealed sectorial papillary edema and extensive macular edema in the affected eye. Using optical coherence tomography we detected intraretinal fluid in the outer retinal layers and subretinal fluid under the fovea. Seven days later, the macular edema was completely resolved, and disseminated retinal exudates had appeared, resembling a macular star figure. No underlying systemic disease was identified. Follow-up examination after 3 months demonstrated almost complete spontaneous resolution of fundus changes and near-normalization of visual acuity.
我们展示了一例Leber特发性星状神经视网膜炎(LISN)的临床图像。一名34岁男性,急性起病,单侧视力模糊5天。临床检查发现患眼扇形视乳头水肿和广泛的黄斑水肿。使用光学相干断层扫描,我们在视网膜外层检测到视网膜内液,在黄斑中心凹下检测到视网膜下液。7天后,黄斑水肿完全消退,出现了散在的视网膜渗出物,类似黄斑星芒状。未发现潜在的全身性疾病。3个月后的随访检查显示眼底改变几乎完全自发消退,视力接近正常。