Cloché V, Sablon J-C, Berrod J-P
Département d'ophtalmologie, CHU de Nancy, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
J Fr Ophtalmol. 2013 Jan;36(1):e11-4. doi: 10.1016/j.jfo.2012.03.012. Epub 2013 Jan 3.
We report the case of a 30-year-old, -7 myopic woman presenting with visual acuity decreased to 3/10 P4 in her right eye and 8/10 P3 in her left eye one month after uncomplicated delivery. Optical coherence tomography (OCT) demonstrated a stage III macular hole (MH) measuring 100 μ with intraretinal cysts in her right eye and a 100 μ stage Ib MH in her left eye. The stage III MH grew to 440 μ, requiring surgery to close it at 3 months, while the stage Ib hole resolved spontaneously. While myopia is a well-known risk factor for MH, the bilateral nature of this case and the context implicate the role of delivery. Thus, MH may be a cause of visual loss in the postpartum period. Diagnosis may be facilitated by OCT.
我们报告了一例30岁、近视-7度的女性病例，该患者在顺产无并发症一个月后，右眼视力降至3/10 P4，左眼视力降至8/10 P3。光学相干断层扫描（OCT）显示右眼有一个III期黄斑裂孔（MH），大小为100μm，伴有视网膜内囊肿，左眼有一个100μm的Ib期MH。III期MH在3个月时增大至440μm，需要手术封闭，而Ib期裂孔则自行愈合。虽然近视是MH的一个众所周知的危险因素，但该病例的双侧性及相关情况提示分娩可能起了作用。因此，MH可能是产后视力丧失的一个原因。OCT有助于诊断。
