Trifonova Kalina, Slaveykov Kiril
Department of Ophthalmology and Otorhinolaryngology, Trakia University, Stara Zagora, Bulgaria.
I-st Department of Internal Disease and General Medicine, Trakia University, Stara Zagora, Bulgaria.
Neuroophthalmology. 2020 Jul 20;45(1):36-40. doi: 10.1080/01658107.2020.1773507. eCollection 2021.
We present an 18-month-old girl with strabismus and a variable esotropia of the left eye. Fixation of the affected eye was intermittent with a relative afferent pupillary defect. A fundus photography of the left eye displayed a combination of features of both morning glory disc anomaly and peripapillary staphyloma. A B-scan ultrasonography examination of the left eye showed a conical excavation of the posterior pole. Cycloplegic refraction measurements showed a large amount of anisometropia. Correction with glasses and part-time occlusion was prescribed and a strict follow-up routine was advised. No other systemic associations with the disease have been discovered so far in our patient. We support the theory that morning glory disc anomaly and peripapillary staphyloma may represent two different morphologies in the spectrum of the same disease.
我们报告一名18个月大的患有斜视和左眼可变内斜视的女孩。患眼的注视是间歇性的，伴有相对传入性瞳孔障碍。左眼的眼底照片显示出牵牛花综合征视盘异常和视乳头周围葡萄肿两种特征的组合。左眼的B超检查显示后极呈圆锥形凹陷。睫状肌麻痹验光测量显示有大量屈光参差。已开出处方，建议佩戴眼镜并进行部分时间遮盖，并建议进行严格的随访程序。到目前为止，在我们的患者中尚未发现与该疾病相关的其他全身性关联。我们支持这样一种理论，即牵牛花综合征视盘异常和视乳头周围葡萄肿可能代表同一疾病谱系中的两种不同形态。
