Kaeser Pierre-François, Borruat François-Xavier
Hôpital Ophtalmique Jules Gonin, Lausanne University, Ophthalmology Department, Avenue de France 15, Lausanne CH-1004, Switzerland.
J AAPOS. 2011 Feb;15(1):83-6. doi: 10.1016/j.jaapos.2010.11.008.
We report a 14-year-old boy who presented with vision loss secondary to peripapillary neovascular membrane (PPNVM) as the initial and only symptom of papilledema secondary to idiopathic intracranial hypertension. After one lumbar puncture, visual acuity progressively recovered during the course of 1 week and further improved with the administration of oral acetazolamide. One year after the onset of vision loss, the patient's visual acuity had recovered to baseline measurements. The previously active PPNVM had involuted into a residual peripapillary fibrotic scar. To our knowledge, this is the first report of PPNVM complicating idiopathic intracranial hypertension in a child.
我们报告一名14岁男孩，其因视乳头周围新生血管膜（PPNVM）导致视力丧失，这是特发性颅内高压继发视乳头水肿的首发且唯一症状。在进行一次腰椎穿刺后，视力在1周内逐渐恢复，并通过口服乙酰唑胺进一步改善。视力丧失发作一年后，患者的视力已恢复至基线测量水平。先前活跃的PPNVM已退缩为残留的视乳头周围纤维化瘢痕。据我们所知，这是儿童特发性颅内高压并发PPNVM的首例报告。
