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斯蒂克勒综合征的非牵拉性视网膜脱离致进行性视力丧失:一种罕见且新颖的表现。

Progressive Visual Loss Without Retinal Detachment in Stickler Syndrome: An Uncommon and Novel Presentation.

机构信息

Hadassah-Hebrew University Medical Center, Department of Ophthalmology, Jerusalem, Israel.

Hadassah-Hebrew University Medical Center, Department of Genetics and Metabolic Diseases, Jerusalem, Israel.

出版信息

Turk J Ophthalmol. 2020 Dec 29;50(6):387-389. doi: 10.4274/tjo.galenos.2020.33858.

DOI:10.4274/tjo.galenos.2020.33858
PMID:33389941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7802100/
Abstract

Stickler syndrome is known to cause visual handicap due to the high incidence of retinal detachment. We aim to present an unusual case of a child with Stickler syndrome who had progressive visual loss secondary to atrophy of the outer retinal layers not associated with retinal detachment. This is a descriptive case report of a 9-year-old child with ocular history of high myopia who presented to our institution with suboptimal visual acuity in both eyes. After 2 years of follow up, he developed unilateral progressive visual loss with marked atrophy of the outer retinal layers and peripheral vascular leakage. Such a presentation has not been previously described in the literature to the best of our knowledge.

摘要

斯特格病已知会因视网膜脱离的高发率而导致视力障碍。我们旨在呈现一个不寻常的案例,一个患有斯特格病的儿童,由于外视网膜层的萎缩而导致视力逐渐下降,而没有与视网膜脱离相关。这是一个描述性的病例报告,涉及一个 9 岁的儿童,他有高度近视的眼部病史,在我们的机构就诊时双眼视力不佳。经过 2 年的随访,他出现单侧进行性视力下降,伴有明显的外视网膜层萎缩和周边血管渗漏。据我们所知,这种表现以前在文献中没有描述过。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e3/7802100/8aa5ee78be70/TJO-50-387-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e3/7802100/8d280349108c/TJO-50-387-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e3/7802100/8aa5ee78be70/TJO-50-387-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e3/7802100/8d280349108c/TJO-50-387-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e3/7802100/8aa5ee78be70/TJO-50-387-g2.jpg

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J Vitreoretin Dis. 2024 Dec 31:24741264241309682. doi: 10.1177/24741264241309682.

本文引用的文献

1
The importance of early diagnosis of Stickler syndrome: Finding opportunities for preventing blindness.斯蒂克勒综合征早期诊断的重要性:寻找预防失明的机会。
Taiwan J Ophthalmol. 2018 Oct-Dec;8(4):189-195. doi: 10.4103/tjo.tjo_97_18.
2
Foveal hypoplasia and optical coherence tomographic imaging.黄斑发育不全与光学相干断层扫描成像
Taiwan J Ophthalmol. 2018 Oct-Dec;8(4):181-188. doi: 10.4103/tjo.tjo_101_18.
3
Phenotypic characterization of patients with early-onset high myopia due to mutations in or : Why not Stickler syndrome?
因 或 基因突变导致的早发性高度近视患者的表型特征:为何不是斯蒂克勒综合征?
Mol Vis. 2018 Aug 10;24:560-573. eCollection 2018.
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Foveal Hypoplasia in Patients with Stickler Syndrome.斯特奇-韦伯综合征患者的中心凹发育不良。
Ophthalmology. 2017 Jun;124(6):896-902. doi: 10.1016/j.ophtha.2017.01.046. Epub 2017 Mar 7.
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Retinal capillaritis in a CRB1-associated retinal dystrophy.CRB1相关视网膜营养不良中的视网膜毛细血管炎。
Ophthalmic Genet. 2017 Dec;38(6):555-558. doi: 10.1080/13816810.2017.1281966. Epub 2017 Jan 27.
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Clinical variability of Stickler syndrome: role of exon 2 of the collagen COL2A1 gene.斯-利二氏综合征的临床变异性:胶原COL2A1基因第2外显子的作用
Surv Ophthalmol. 2003 Mar-Apr;48(2):191-203. doi: 10.1016/s0039-6257(02)00460-5.
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Radial perivascular retinal degeneration: a key to the clinical diagnosis of an ocular variant of Stickler syndrome with minimal or no systemic manifestations.视网膜血管周围性变性:一种对具有极少或无全身表现的Stickler综合征眼部变异型进行临床诊断的关键因素。
Am J Ophthalmol. 2002 Nov;134(5):728-34. doi: 10.1016/s0002-9394(02)01646-x.
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Clinical features of hereditary progressive arthro-ophthalmopathy (Stickler syndrome): a survey.遗传性进行性关节眼病(斯蒂克勒综合征)的临床特征:一项调查。
Genet Med. 2001 May-Jun;3(3):192-6. doi: 10.1097/00125817-200105000-00008.
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Stickler's syndrome.斯蒂克勒综合征
Int Ophthalmol Clin. 1993 Spring;33(2):271-80. doi: 10.1097/00004397-199303320-00025.