多发性一过性白点综合征中的视乳头周围浆液性脱离

Peripapillary serous detachment in multiple evanescent white dot syndrome.

作者信息

Chao Daniel L, Marsiglia Marcela, Ahmad Baseer, Sridhar Jayanth, Shah Gaurav K, de Souza Eduardo Cunha, Yannuzzi Lawrence A, Albini Thomas A

机构信息

*Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida; †LuEster T. Mertz Retinal Research Center, Manhattan Eye Ear and Throat Hospital; and Vitreous Retina Macula Consultants of New York, New York, New York; ‡Department of Ophthalmology, Columbia University, New York, New York; §The Retina Institute, St. Louis, Missouri; and ¶Department of Ophthalmology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.

出版信息

Retina. 2015 Mar;35(3):521-4. doi: 10.1097/IAE.0000000000000372.

DOI:10.1097/IAE.0000000000000372

PMID:25545483

Abstract

BACKGROUND

To report the presence of transient peripapillary serous detachments in multiple evanescent white dot syndrome.

METHODS

Retrospective case series.

RESULTS

Four eyes of four patients diagnosed with multiple evanescent white dot syndrome presented with peripapillary serous detachments. Diagnosis was based on clinical presentation, fundus findings, and angiographic findings. All 4 were female with age ranges between 24 and 40 years and presented with photopsias, an enlarged scotoma contiguous with the blind spot, and chorioretinal white dots in the posterior pole with characteristic angiographic features. All of the serous detachments resolved or were greatly reduced concomitantly with the resolution of the patient's other clinical symptoms and fundus findings.

CONCLUSION

The authors report peripapillary serous detachments as a previously unreported manifestation of multiple evanescent white dot syndrome. These seem to be self limited with concurrent resolution with the rest of the patient's symptoms.

摘要

背景

报告多发性一过性白点综合征中存在短暂性视乳头周围浆液性脱离。

方法

回顾性病例系列研究。

结果

4例诊断为多发性一过性白点综合征的患者的4只眼出现视乳头周围浆液性脱离。诊断基于临床表现、眼底表现和血管造影表现。所有4例均为女性，年龄在24至40岁之间，表现为闪光感、与盲点相连的扩大暗点，以及后极部脉络膜视网膜白点并具有特征性血管造影表现。所有浆液性脱离均随着患者其他临床症状和眼底表现的缓解而消退或显著减轻。