Weller Julia M, Michelson Georg, Juenemann Anselm G
Department of Ophthalmology, University of Erlangen-Nuremberg, Erlangen, Germany.
BMJ Case Rep. 2014 Feb 10;2014:bcr2013202236. doi: 10.1136/bcr-2013-202236.
This case report depicts the clinical course of a female patient with unilateral retinitis pigmentosa (RP), who presented first in 1984 at the age of 43 years. At the beginning, there were cells in the vitreous leading to the diagnosis of uveitis with vasculitis. Within 30 years, the complete clinical manifestation of RP developed with bone spicule-shaped pigment deposits, pale optic disc, narrowed arterioles, cystoid macular oedema, posterior subcapsular cataract, concentric narrowing of the visual field and undetectable electroretinogram signal. At the age of 72 years, there are still no signs of retinal dystrophy in the other eye.
本病例报告描述了一名患有单侧视网膜色素变性(RP)的女性患者的临床病程,该患者于1984年首次就诊,当时43岁。起初,玻璃体中有细胞,导致诊断为伴有血管炎的葡萄膜炎。在30年内,RP的完整临床表现逐渐显现,出现骨针状色素沉着、视盘苍白、小动脉变窄、黄斑囊样水肿、后囊下白内障、视野同心性缩小以及视网膜电图信号无法检测到。在72岁时,另一只眼仍没有视网膜营养不良的迹象。