Rath Eitan Zvi, Shoer Keren Chet, Rumelt Shimon
Department of Ophthalmology, Western Galilee Hospital, Nahariya, Israel.
Harefuah. 2013 Feb;152(2):79-83, 124, 123.
To report a rare case of swollen optic disc with hard exudates at the center of the retina (macula) with an unknown etiology (idiopathic).
A 49 years old male complained of blurred vision in his left eye. He reported that ten years earlier a similar episode occurred in the right eye. Upon resolution of the macular edema we recognized hard exudates with a macular star pattern. After six months his central vision returned to normal with mild to moderate defects in his lower visual field.
The literature describes various etiologies that have been reported due to the rare presentation of the macular star In our case we did not find any clear etiology, therefore, the diagnosis of Leber's idiopathic stellate neuroretinitis can be presumed.
报告一例罕见的视盘肿胀病例,其视网膜(黄斑)中心有硬性渗出物,病因不明(特发性)。
一名49岁男性主诉左眼视力模糊。他报告称,10年前右眼曾发生过类似情况。黄斑水肿消退后,我们发现了呈黄斑星芒状的硬性渗出物。6个月后,他的中心视力恢复正常,但下方视野有轻度至中度缺损。
文献描述了因黄斑星芒状罕见表现而报告的各种病因。在我们的病例中,未发现任何明确病因,因此,可以推测诊断为Leber特发性星状神经视网膜炎。