Özelce Ramazan, Gürlü Vuslat, Güçlü Hande, Özal Sadık Altan
Ophthalmology Department, Trakya University, Edirne, Turkey.
Arq Bras Oftalmol. 2016 Sep-Oct;79(5):328-329. doi: 10.5935/0004-2749.20160093.
A 42-year-old woman was admitted to our clinic with a complaint of glare in both eyes. Biomicroscopic examination of both the eyes revealed iris and lens colobomas in the inferior quadrant. Fundus examination of the right eye revealed an oval and gray inferotemporal optic pit and two choroid colobomas in the inferior quadrant. In the left eye, two choroid colobomas were detected that were inferior to the optic nerve head. Furthermore, a 21-year-old man presented to our clinic for a routine ophthalmologic examination. Bilateral biomicroscopic examination was normal. Fundus examination of the left eye revealed an oval and gray inferotemporal optic pit and a choroid coloboma that was inferior to the optic nerve head. Here we describe optic pits co-occurring with iris, lens, and choroidal colobomas. On the basis of these cases, a defect in the closure of the embryonic fissure is the most plausible etiology of the optic pit.
一名42岁女性因双眼畏光症状前来我院就诊。双眼生物显微镜检查发现象限下方存在虹膜和晶状体缺损。右眼眼底检查发现椭圆形灰色颞下象限视盘小凹以及象限下方两个脉络膜缺损。左眼检测到两个位于视神经乳头下方的脉络膜缺损。此外,一名21岁男性前来我院进行常规眼科检查。双眼生物显微镜检查正常。左眼眼底检查发现椭圆形灰色颞下象限视盘小凹以及一个位于视神经乳头下方的脉络膜缺损。在此,我们描述了视盘小凹与虹膜、晶状体和脉络膜缺损同时出现的情况。基于这些病例,胚胎裂闭合缺陷是视盘小凹最合理的病因。