Retsas C, Sarks J, Shanahan L
Vitreo-Retinal Unit, Royal Prince Alfred Hospital, Sydney, Australia.
J Fr Ophtalmol. 1989;12(12):857-62.
We present what we believe to be the first reported association between retinal angiomatosis and Stardgardt's disease (Gass type 3). We have had the opportunity of following photographically a patient for the last eleven years. The earliest photos showed the macular problem whilst the latter shots showed the presence of a capillary angioma involving the temporal part of the optic disc and the adjacent retina of the left eye. We believe that this tumour arose in previously normal tissue. Examination and investigation of the patient revealed a peripapillary choroidal rupture at the site of the angioma, thalassaemia minor, retinitis pigmentosa, mildly dilated lateral ventricles, hepatic angiomata and a negative family history apart from a younger sister who was mildly retarded and showed an identical fundal picture of Stargardt's disease. Later examination revealed a small peripheral angioma inferiorly in the same eye. The diagnostic and management problems will be discussed.
我们报告了我们认为是视网膜血管瘤病与斯塔加特病（加斯3型）之间首次报道的关联。在过去的十一年里，我们有机会对一名患者进行了摄影随访。最早的照片显示了黄斑问题，而后来的照片显示左眼视盘颞侧部分及相邻视网膜存在毛细血管血管瘤。我们认为这个肿瘤起源于先前正常的组织。对该患者的检查和调查发现，血管瘤部位有视乳头周围脉络膜破裂、轻度地中海贫血、色素性视网膜炎、轻度扩张的侧脑室、肝血管瘤，除了一个轻度智力发育迟缓且眼底表现与斯塔加特病相同的妹妹外，家族史为阴性。后来的检查发现同一只眼下方有一个小的周边血管瘤。将对诊断和治疗问题进行讨论。
