Shri Bhagwan Mahavir Vitreoretinal Services, Chennai, Tamil Nadu, India.
Deparment of Uvea and Ocular Pathology, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2018 Nov;66(11):1637-1639. doi: 10.4103/ijo.IJO_966_18.
A 44-year-old female presented with central vision loss and photopsia in both eyes since 2 months. Multimodal imaging, field defects, electroretinogram abnormalities, and spectral domain optical coherence tomography changes were all suggestive of acute zonal occult outer retinopathy. En-face optical coherence tomography angiography (OCTA) images demonstrated hyper-reflective dots at the level of ellipsoid zone in both eyes in the presence of normal retinochoroidal vasculature. The patient was started on oral azathioprine and prednisolone. On two consecutive monthly follow-ups, en-face OCTA images demonstrated serial changes in the hyper-reflective dot morphology at ellipsoid zone level that have not been previously reported in the literature.
一位 44 岁女性因双眼中心视力丧失和光幻视就诊，病史已有 2 个月。多模态成像、视野缺损、视网膜电图异常和谱域光学相干断层扫描改变均提示急性区域性隐匿性外层视网膜病变。颜面光学相干断层扫描血管造影（OCTA）图像显示双眼在正常脉络膜视网膜血管的情况下，在椭圆体带水平呈现高反射点。患者开始口服硫唑嘌呤和泼尼松龙治疗。在连续两次每月随访中，颜面 OCTA 图像显示椭圆体带水平高反射点形态的连续变化，这在文献中尚未有报道。
