扫频源光学相干断层扫描在摇晃婴儿综合征中的发现：病例报告。
Swept-source OCT findings in shaken baby syndrome: case report.
作者信息
Ksiaa Imen, Ghachem Mohamed, Besbes Habib, Khochtali Sana, Chouchane Slaheddine, Khairallah Moncef
机构信息
Department of Ophthalmology, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Department of Pediatrics, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
出版信息
BMC Ophthalmol. 2020 Oct 7;20(1):396. doi: 10.1186/s12886-020-01666-9.
BACKGROUND
Our purpose was to document the swept source optical coherence tomography (SSOCT) findings in a patient with Shaken baby syndrome (SBS).
CASE PRESENTATION
SSOCT was obtained without sedation in a six-month-old girl with bilateral multilayered retinal hemorrhages due to SBS. It documented vitreoretinal interface abnormalities, including internal limiting membrane (ILM) detachment with retinal traction, in association with other specific changes in the inner and outer retinal layers. Six weeks later, retinal hemorrhages had substantially resolved, and there was optic disc pallor. OCT showed ILM reattachment with release of retinal traction and the development of severe diffuse retinal atrophy involving the fovea.
CONCLUSIONS
SS OCT can provide useful information in SBS, revealing a wide variety of vitreoretinal interface, inner, and outer retinal changes not detected by clinical examination. It also may have a prognostic value over follow-up.
背景
我们的目的是记录一名患有摇晃婴儿综合征（SBS）患者的扫频源光学相干断层扫描（SSOCT）检查结果。
病例报告
对一名因SBS导致双侧多层视网膜出血的6个月大女孩进行了未使用镇静剂的SSOCT检查。检查记录了玻璃体视网膜界面异常，包括伴有视网膜牵拉的内界膜（ILM）脱离，以及视网膜内、外层的其他特定变化。六周后，视网膜出血基本消退，出现视盘苍白。光学相干断层扫描（OCT）显示ILM重新附着，视网膜牵拉解除，并且出现累及黄斑的严重弥漫性视网膜萎缩。
结论
SS OCT可为SBS提供有用信息，揭示临床检查未发现的各种玻璃体视网膜界面、视网膜内、外层变化。它在随访过程中可能也具有预后价值。
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