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儿童双侧脉络膜骨瘤的特殊表现。

Peculiar presentation of bilateral choroidal osteoma in a child.

机构信息

Department of Ophthalmology, Queen Fabiola University Children's Hospital. Université Libre de Bruxelles, Brussels, Belgium; Department of Ophthalmology, Brugmann hospital, Université Libre de Bruxelles, Brussels, Belgium; Department of Ophthalmology, Saint-Pierre hospital, Université Libre de Bruxelles, Brussels, Belgium.

Department of Ophthalmology, Queen Fabiola University Children's Hospital. Université Libre de Bruxelles, Brussels, Belgium.

出版信息

J Fr Ophtalmol. 2021 Nov;44(9):1358-1361. doi: 10.1016/j.jfo.2021.02.024. Epub 2021 Aug 25.

DOI:10.1016/j.jfo.2021.02.024
PMID:34454772
Abstract

UNLABELLED

Report of a presentation of bilateral choroidal osteoma without neovascularization in a child following a school screening. Diagnosis was based on funduscopy, optical coherence tomography and B-scan ultrasonography. The child was followed regularly with cycloplegic refraction, funduscopy, macular SD-OCT and EDI-SD-OCT. Fluorescein angiography and OCT-angiography will be performed if necessary.

PURPOSE

To report a peculiar presentation of bilateral choroidal osteoma in a very young child.

METHODS

Case report.

RESULTS

During a school screening, a 4-year-old girl was detected with anisometropia as the first sign of a bilateral choroidal osteoma. The diagnosis was based on funduscopy, optical coherence tomography and B-scan ultrasonography.

CONCLUSION

Choroidal osteomas are rare benign tumors that can lead to severe visual loss due to progression or complications. They are found mostly in young adults, but in our case, the refractive screening allowed an early diagnosis despite the lack of visual symptoms.

摘要

中文译文:

本报告介绍了一例在学校筛查中发现的无新生血管形成的双侧脉络膜骨瘤患儿。诊断依据为眼底检查、光学相干断层扫描和 B 型超声。患儿定期接受睫状肌麻痹验光、眼底检查、黄斑 SD-OCT 和 EDI-SD-OCT 检查。必要时行荧光素血管造影和 OCT 血管造影。

目的

报告一例非常年幼的儿童双侧脉络膜骨瘤的特殊表现。

方法

病例报告。

结果

在学校筛查中,一名 4 岁女孩因屈光不正被发现患有双侧脉络膜骨瘤。诊断依据为眼底检查、光学相干断层扫描和 B 型超声。

结论

脉络膜骨瘤是一种罕见的良性肿瘤,由于进展或并发症可导致严重的视力丧失。它们多发生在年轻人,但在我们的病例中,尽管没有视力症状,屈光筛查也允许早期诊断。

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