Takkar Brijesh, Rathi Anubha, Venkatesh Pradeep, Kumar Atul
Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, India.
Smt Kanuri Santhamma Centre for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, India.
J Ophthalmic Vis Res. 2020 Apr 6;15(2):240-245. doi: 10.18502/jovr.v15i2.6742. eCollection 2020 Apr-Jun.
To present a case of gigantic idiopathic angioid streaks.
A young male presented with macular choroidal neovascular membrane (CNVM) and peripheral retinal hemorrhages secondary to angioid streaks. Swept source optical coherence tomography (SSOCT) and ultrawide field imaging were performed. The latter revealed extension of the angioid streaks up to the equator in both eyes. SSOCT showed breaks in the retinal pigment epithelium-Bruch's membrane complex in the area of peripheral retinal hemorrhages. The patient was extensively worked up for systemic associations, and the only significant finding was a long history of steroid abuse in the past.
Advanced imaging techniques helped to diagnose angioid streaks in this patient. The possible role of steroid abuse in accentuating the presentation of angioid streaks may be explored further.
报告一例巨大特发性血管样条纹病例。
一名年轻男性因血管样条纹继发黄斑脉络膜新生血管膜（CNVM）及周边视网膜出血就诊。进行了扫频源光学相干断层扫描（SSOCT）和超广角成像检查。后者显示双眼血管样条纹延伸至赤道部。SSOCT显示周边视网膜出血区域视网膜色素上皮- Bruch膜复合体存在破裂。对该患者进行了全面的全身相关检查，唯一重要的发现是既往有长期滥用类固醇药物史。
先进的成像技术有助于诊断该患者的血管样条纹。类固醇药物滥用在加重血管样条纹表现方面的可能作用值得进一步探讨。
