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被误诊为双侧弱视的黄斑视网膜劈裂症。

Foveal retinoschisis misdiagnosed as bilateral amblyopia.

作者信息

Kyung Sungeun E, Lee Minsoo

机构信息

Department of Ophthalmology, Dankook University Hospital, 359 Manghang-Ro, Dongnam-Gu, Cheonan-City, Chungchungnam-Do, South Korea.

出版信息

Int Ophthalmol. 2012 Dec;32(6):595-8. doi: 10.1007/s10792-012-9600-y. Epub 2012 Jul 3.

Abstract

Juvenile foveal retinoschisis is one of the most common causes of bilateral macular degeneration in young boys. School age with accommodative esotropia may develop amblyopia due to late correction of hyperopia. Retinoschisis is hard to diagnose in patient with subtle macula change and hyperopic amblyopia. We report a case of bilateral foveal retinoschisis before and after treatment with topical dorzolamide, which was misdiagnosed as bilateral hyperopic amblyopia. Optical coherence tomography should be considered in diagnostic procedures of children with hyperopic amblyopia.

摘要

青少年性黄斑视网膜劈裂是年轻男性双侧黄斑变性最常见的病因之一。患有调节性内斜视的学龄儿童可能由于远视矫正不及时而发生弱视。视网膜劈裂在黄斑变化不明显和远视性弱视患者中很难诊断。我们报告一例双侧黄斑视网膜劈裂患者,在局部使用多佐胺治疗前后被误诊为双侧远视性弱视。在远视性弱视儿童的诊断过程中应考虑光学相干断层扫描。

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