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孤立性黄斑发育不全:临床表现与影像学表现

Isolated foveal hypoplasia: clinical presentation and imaging findings.

作者信息

Karaca Emine Esra, Çubuk Mehmet Özgür, Ekici Feyzahan, Akçam Hanife Tuba, Waisbourd Michael, Hasanreisoğlu Murat

机构信息

*MD Gazi University Medical Faculty, Department of Ophthalmology, Ankara, Turkey (EEK, MOC, HTA, MH); and Wills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania (FE, MW).

出版信息

Optom Vis Sci. 2014 Apr;91(4 Suppl 1):S61-5. doi: 10.1097/OPX.0000000000000191.

DOI:10.1097/OPX.0000000000000191
PMID:24637485
Abstract

PURPOSE

To describe the clinical presentation and imaging findings of a patient with isolated foveal hypoplasia.

CASE REPORT

A 16-year-old teenager presented to our clinic with mild to moderate visual impairment since early childhood. Lack of foveal depression was noted on both clinical examination and optical coherence tomography, and absence of the foveal avascular zone was demonstrated on fluorescein angiography. His ocular examination was otherwise unremarkable.

CONCLUSIONS

Isolated foveal hypoplasia should be considered in the differential diagnosis of early-onset bilateral visual impairment, especially when the foveal reflexes seem absent.

摘要

目的

描述一名孤立性黄斑发育不全患者的临床表现及影像学检查结果。

病例报告

一名16岁青少年自幼即出现轻度至中度视力损害,前来我院就诊。临床检查及光学相干断层扫描均显示黄斑中心凹未凹陷,荧光素血管造影显示黄斑无血管区缺失。其眼部其他检查未见异常。

结论

对于早发性双侧视力损害的鉴别诊断,应考虑孤立性黄斑发育不全,尤其是在黄斑反射似乎缺失时。

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