Joubert R, Farguette F, Chevreaud O, Chiambaretta F, Souied E H
Service d'ophtalmologie, pôle médecine interne-ophtalmologie-ORL, CHU de Clermont-Ferrand, 58, rue de Montalembert, 63003 Clermont-Ferrand, France.
Centre d'ophtalmologie du Zénith, Trident E, 46, rue Sarliève, 63800 Cournonl, France.
J Fr Ophtalmol. 2016 Nov;39(9):786-790. doi: 10.1016/j.jfo.2016.03.014. Epub 2016 Oct 19.
We report the case of a twenty-year-old man with a unilateral maculopathy responsible for an acute visual acuity loss and a sudden absolute central scotoma. His schizoid personality made the medical history fruitless. The patient's best corrected visual acuity was 20/60. Clinical examination revealed a strictly unilateral maculopathy with pigment remodeling and hyper-autofluorescent areas. Through this case report, we describe the characteristics of the lesion and the pathway to the diagnosis: a laser pointer-induced photic injury.
我们报告了一例20岁男性患者,其患有单侧黄斑病变,导致急性视力丧失和突然出现的绝对中心暗点。他的分裂样人格使得病史采集毫无结果。患者的最佳矫正视力为20/60。临床检查发现严格单侧黄斑病变,伴有色素重塑和高自发荧光区域。通过本病例报告,我们描述了病变的特征及诊断途径:激光笔引起的光损伤。