Ercan Zeynep Eylül, Karalezli Aylin, Coban Gokcen
Department of Ophthalmology, Baskent University School of Medicine, Ankara, Turkey.
Department of Ophthalmology, Muğla Sıtkı Koçman University School of Medicine, Muğla, Turkey.
Saudi J Ophthalmol. 2016 Oct-Dec;30(4):257-259. doi: 10.1016/j.sjopt.2016.11.003. Epub 2016 Nov 10.
We report a case of optic disc pseudoduplication without pathological myopia. A 79-year-old woman presented with gradually decreased vision. Fundus examination showed macular drusen in both eyes and subretinal haemorrhage in the left eye. Both optic discs appeared to be tilted and the left optic disc was seen to be inferiorly duplicated. Pseudodoubling of the optic discs can be caused by optic disc and peripapillary chorioretinal colobomas and pathological myopia. Considering that our patient did not have enough axial length to merit a diagnosis of pathological myopia and no pathological fundus lesions typical of elongated sclera, we suggest that acquired pseudoduplication is not a condition unique to pathological myopia, but can occur in all myopic patients. The clinical materials, including ophthalmological examination, fundus fluorescent angiography and MRI scan of the orbit, were reported, and its pertinent literatures were reviewed.
我们报告一例无病理性近视的视盘假性重复病例。一名79岁女性因视力逐渐下降就诊。眼底检查发现双眼黄斑玻璃膜疣，左眼视网膜下出血。双眼视盘均呈倾斜状，左眼视盘可见下方重复。视盘假性重复可由视盘及视乳头周围脉络膜视网膜缺损和病理性近视引起。鉴于我们的患者眼轴长度不足以诊断为病理性近视，且没有典型的巩膜延长的病理性眼底病变，我们认为后天性假性重复并非病理性近视所特有，而是可发生于所有近视患者。报告了包括眼科检查、眼底荧光血管造影和眼眶MRI扫描在内的临床资料，并复习了相关文献。
