Yalçındağ F Nilüfer, Atilla Huban, Batıoğlu Figen
Department of Ophthalmology, Faculty of Medicine, Ankara University, 06100 Ankara, Turkey.
Case Rep Ophthalmol Med. 2011;2011:491894. doi: 10.1155/2011/491894. Epub 2012 Jan 23.
Aim. To report the optical coherence tomography (OCT) findings in three members of the same family with nanophthalmos associated with elevated papillomacular retinal fold. Methods. Complete ophthalmic examination as well as ultrasonography and OCT was performed in all patients. Results. Axial lengths ranged from 16.75 mm to 17.48 mm and refractive errors ranged from +17.50 D to +20.50 D. Main fundus findings were the hyperopic crowded, cupless optic disc, and retinal fold through papillomacular region. Macular OCT scans revealed retinal fold with normal retinal pigment epithelium and choriocapillaris. Interpretation. It is presumed that the retinal folds in nanophthalmos result from a redundancy of the retinal layer caused by retarded growth of the scleral, choroidal, and retinal pigment epithelial layers. The anatomic information provided by the current study is consistent with this thesis.
目的。报告同一家庭中三名患有小眼球合并黄斑乳头视网膜皱褶升高的患者的光学相干断层扫描(OCT)检查结果。方法。对所有患者进行了全面的眼科检查以及超声检查和OCT检查。结果。眼轴长度在16.75毫米至17.48毫米之间,屈光不正度数在+17.50 D至+20.50 D之间。主要眼底表现为远视性拥挤、无杯状视盘以及穿过黄斑乳头区域的视网膜皱褶。黄斑OCT扫描显示视网膜皱褶,视网膜色素上皮和脉络膜毛细血管正常。解读。据推测,小眼球中的视网膜皱褶是由于巩膜、脉络膜和视网膜色素上皮层生长迟缓导致视网膜层冗余所致。本研究提供的解剖学信息与这一论点一致。