Top Karti Dilek, Arcagok Hasan Mahmut, Karti Omer
Department of Neurology, Bozyaka Training and Research Hospital, İzmir, Turkey.
Department of Ophthalmology, Bozyaka Training and Research Hospital, İzmir, Turkey.
Neuroophthalmology. 2020 Mar 23;45(2):105-108. doi: 10.1080/01658107.2020.1733619.
Although isolated optic nerve head drusen (ONHD) and peripapillary myelinated retinal nerve fibres (MRNF) are described in the literature many times as far as we could reach, the combination of the two has been reported in only a single case without multimodal imaging. Here, we present multimodal imaging of a 47-year-old healthy woman with MRNF who had blind spot enlargement and a visual field defect in the left eye ascribed to the ONHD. ONHD may accompany MRNF which can hide the disc drusen. Clinicians, therefore, should be aware of this rare coexistence to explain possible complications such as visual field defects associated with drusen in patients with MRNF.
尽管就我们所能查阅到的文献而言,孤立性视神经乳头 drusen(ONHD)和视乳头周围有髓鞘视网膜神经纤维(MRNF)已被多次描述,但二者合并出现的情况仅在1例中被报道过,且未进行多模态成像。在此,我们展示了1例47岁健康女性的多模态成像结果,该女性患有MRNF,左眼因ONHD出现盲点扩大和视野缺损。ONHD可能与MRNF并存,而MRNF可能会掩盖视盘drusen。因此,临床医生应意识到这种罕见的共存情况,以便解释MRNF患者中与drusen相关的诸如视野缺损等可能的并发症。