Mandal Souvik, Basu Soumyava
L V Prasad Eye Institute, Bhubaneswar, Orissa, India.
Clin Exp Optom. 2012 Nov;95(6):643-5. doi: 10.1111/j.1444-0938.2012.00755.x. Epub 2012 Jun 24.
An eight-year-old boy presented with decreased near and distance vision in both eyes. The right ocular fundus showed a giant macular hole surrounded by a vitelliform ring. Spectral domain optical coherence tomography (SD-OCT) revealed a full-thickness macular hole with cystic spaces at the edges. The left fundus had an egg-yolk like appearance of 1.5-disc diameter at the macular region. SD-OCT showed an optically empty space between retinal pigment epithelium and the neurosensory retina. Fundus autofluorescence confirmed the presence of lipofuscin in both eyes. The Arden ratio was 1.38 for the right eye and 1.61 for the left. There was no surgical intervention because of the poor prognosis due to large size of the hole. Environmental modification and contrast-enhancing measures were explained to the patient and his parents.
一名八岁男孩出现双眼近视力和远视力下降。右眼眼底可见一个巨大的黄斑裂孔，周围有一个卵黄样环。光谱域光学相干断层扫描（SD-OCT）显示为全层黄斑裂孔，边缘有囊腔。左眼黄斑区有一个直径为1.5视盘的蛋黄样外观。SD-OCT显示视网膜色素上皮和神经感觉视网膜之间有一个光学上的空隙。眼底自发荧光证实双眼均存在脂褐素。右眼的阿登比率为1.38，左眼为1.61。由于裂孔较大预后较差，未进行手术干预。向患者及其父母解释了环境调整和增强对比度的措施。
