Saatci Ali Osman, Doruk Hasan Can, Yaman Aylin
Department of Ophthalmology, Dokuz Eylul University, Mithatpasa Caddesi, 35300 Izmir, Turkey.
Case Rep Ophthalmol Med. 2014;2014:964892. doi: 10.1155/2014/964892. Epub 2014 May 11.
A 27-year-old man with progressive bilateral visual decline was diagnosed to have Bietti's crystalline dystrophy (BCD). Fluorescein angiography revealed bilateral petaloid type late hyperfluorescence implicating concurrent cystoid macular edema (CME). Optical coherence tomography exhibited cystoid foveal lacunas OU. During the follow-up of six years, intraretinal crystals reduced in amount but CME persisted angiographically and tomographically. CME is among the rare macular features of BCD including subfoveal sensorial detachment, subretinal neovascular membrane, and macular hole.
一名27岁渐进性双侧视力下降的男性被诊断为比埃蒂结晶状视网膜变性（BCD）。荧光素血管造影显示双侧花瓣状晚期高荧光，提示并发黄斑囊样水肿（CME）。光学相干断层扫描显示双眼黄斑中心凹囊样缺损。在六年的随访中，视网膜内晶体数量减少，但CME在血管造影和断层扫描中持续存在。CME是BCD罕见的黄斑表现之一，包括黄斑下感觉性脱离、视网膜下新生血管膜和黄斑裂孔。
