Asensio-Sánchez Víctor Manuel, Rubio-Martínez María Soledad, Martín-Prieto Alba
Ophthalmology Department, Clinical University Hospital of Valladolid, Valladolid, Spain.
Int Med Case Rep J. 2017 Aug 17;10:301-303. doi: 10.2147/IMCRJ.S140203. eCollection 2017.
We present a case of a previously healthy 52-year-old woman with acute onset of scotomas in both eyes. It was associated with headache and vomiting for the past 1 week after a cold. The best-corrected visual acuity was 20/20 in both eyes. The examination of bilateral fundus revealed a venous tortuosity and mild dilatation in the posterior pole, with pre- and intraretinal hemorrhages. However, vasculatures were normally straight in the mid-peripheral and peripheral retina of both eyes. Hemorrhages showed complete resolution without treatment. There was no change in the appearance and shape of the vasculature. Ophthalmologists should be aware of congenital venous tortuosity as a possible cause of retinal hemorrhages.
我们报告一例既往健康的52岁女性，双眼急性出现暗点。在感冒后过去1周，伴有头痛和呕吐。双眼最佳矫正视力均为20/20。双侧眼底检查发现后极部静脉迂曲和轻度扩张，伴有视网膜前和视网膜内出血。然而，双眼视网膜中周部和周边部血管正常走行。出血未经治疗即完全消退。血管的外观和形态无变化。眼科医生应意识到先天性静脉迂曲可能是视网膜出血的原因。
