Poppe Ewa, Sajkowska Marzena, Bandzul Krzysztof
Z Oddziału Okulistycznego Szpitala Wojewódzkiego w Łomzy.
Klin Oczna. 2011;113(10-12):364-6.
The aim of the article is to present the case of a fifty years old man suffering from congenital pit of the optic head with remission confirmed by OCT examination. The diagnosis was established after indirect ophtalmoscopy and OCT. Congenital pit of the head is a rare anomaly caused by the mutation of a PAX 2 gene. Location of the pathology and its symptoms cause difficulties in diagnosis and may indicate central serous choroidoretinopathy or glaucoma. Modern and non-invasive techniques show a two-layer structure at the edge of corpus vitreum and retina. Confirmation of congenital pit of the optic head has a prognostic value with other diseases of retina, such as hole of macula. Only 25% of cases have symptoms of remission without treatment. The rest require further monitoring and various methods of treatment, including vitrectomy.
本文旨在介绍一名50岁男性患有视神经乳头先天性凹陷且经光学相干断层扫描（OCT）检查证实病情缓解的病例。诊断是在间接检眼镜检查和OCT检查后确立的。视神经乳头先天性凹陷是一种由PAX 2基因突变引起的罕见异常。病变的位置及其症状导致诊断困难，可能提示中心性浆液性脉络膜视网膜病变或青光眼。现代非侵入性技术显示玻璃体和视网膜边缘有两层结构。视神经乳头先天性凹陷的确诊对黄斑裂孔等其他视网膜疾病具有预后价值。仅25%的病例未经治疗就有病情缓解的症状。其余病例需要进一步监测和包括玻璃体切除术在内的各种治疗方法。
