Saudax E, Martin-Beuzart S, Lesure P, George J L
Service d'Ophtalmologie B, Hôpital Nancy Brabois, Vandoeuvre-les-Nancy.
J Fr Ophtalmol. 1990;13(4):219-22.
A case of unilateral serous hemorrhagic maculopathy with a very acute course is reported in an eight year old girl fluorescein angiography revealed the presence of a subretinal neovascular membrane extending from the inferotemporal part of the disc to the macula; CT scan identified calcified drusen of the optic disc. Ophthalmoscopy and angiography one year later showed a glial macular scar, absence of hemorrhage and serous detachment. Visual acuity was reduced to counting fingers. This unusual type of maculopathy combining optic disc drusen and a neovascular membrane contradicts the classically benign prognosis of optic disc drusen.
报告了一例病程极急的单侧浆液性出血性黄斑病变，患者为一名8岁女孩。荧光素血管造影显示存在从视盘颞下部分延伸至黄斑的视网膜下新生血管膜；CT扫描发现视盘有钙化性玻璃膜疣。一年后的检眼镜检查和血管造影显示为胶质黄斑瘢痕，无出血和浆液性脱离。视力降至仅能数指。这种合并视盘玻璃膜疣和新生血管膜的不寻常类型黄斑病变与视盘玻璃膜疣典型的良性预后相悖。
