Department of Ophthalmology, Eye and Ear Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Neuroophthalmol. 2021 Sep 1;41(3):e357-e359. doi: 10.1097/WNO.0000000000001128.
A 44-year-old woman noticed bilateral irregular scotomata associated with photopsias of 6-month duration. Ophthalmoscopic examination demonstrated multiple bilateral, pericentral, hypopigmented, petaloid, macular lesions evident on Amsler grid associated with paracentral hyperreflective lesions on optical coherence tomography in the outer plexiform and nuclear layers. Indocyanine green angiography revealed patches of choroidal ischemia consistent with acute macular neuroretinopathy.
一位 44 岁女性注意到双侧不规则暗点，并伴有 6 个月的光幻视。眼底检查显示双眼多发性中心旁、色素减退、花瓣状、黄斑病变，在 Amsler 网格上可见，光相干断层扫描在外丛状层和核层显示中心旁高反射病变。吲哚青绿血管造影显示脉络膜缺血斑，符合急性黄斑神经视网膜病变。
