Torres-Costa Sónia, Penas Susana, Carneiro Ângela, Santos-Silva Renato, Moura Rodolfo, Brandão Elisete, Falcão-Reis Fernando, Figueira Luís
Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, Portugal.
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.
Case Rep Ophthalmol Med. 2020 Jan 28;2020:7254038. doi: 10.1155/2020/7254038. eCollection 2020.
The authors describe imagiological findings in idiopathic exudative polymorphous vitelliform maculopathy. A 41-year-old woman complained of bilateral blurry vision. Best-corrected visual acuity was 20/20 bilaterally. Bilateral small serous neurosensory detachments in the fovea were seen at fundoscopy and confirmed by spectral-domain optical coherence tomography. Fluorescein angiography was unremarkable. Indocyanine green angiography presented discrete hyperfluorescent spots on the posterior pole. Later, more bleb-like lesions with a vitelliform appearance and hyperautofluorescent on blue fundus autofluorescence were detected. One year later, a complete resolution of the fluid was observed. To conclude, multimodal evaluation of patients with idiopathic exudative polymorphous vitelliform maculopathy is essential for the correct diagnosis of this disease.
作者描述了特发性渗出性多形性卵黄样黄斑病变的影像学表现。一名41岁女性主诉双眼视力模糊。最佳矫正视力双侧均为20/20。眼底检查可见双侧黄斑区小的浆液性神经感觉层脱离，并经光谱域光学相干断层扫描证实。荧光素血管造影无异常。吲哚菁绿血管造影显示后极部有散在的高荧光斑点。后来，检测到更多具有卵黄样外观且在蓝色眼底自发荧光上呈高自发荧光的泡状病变。一年后，观察到积液完全消退。总之，对特发性渗出性多形性卵黄样黄斑病变患者进行多模式评估对于正确诊断该疾病至关重要。
