Department of Ophthalmology, Dicle University School of Medicine, Diyarbakır, Turkey.
Retin Cases Brief Rep. 2023 May 1;17(3):285-287. doi: 10.1097/ICB.0000000000001189.
To report a case of the clinical manifestation of unilateral acute idiopathic maculopathy in a child patient.
Case report.
An 11-year-old male patient complaining of visual impairment in the left eye that had persisted for 3 weeks was admitted to the Dicle University Ophthalmology Clinic. Fundus examination, optical coherence tomography (OCT), enhanced depth imaging OCT, fundus autofluorescence, and fundus fluorescence angiography examinations were conducted. During the fundus examination, a yellowish gray area of swelling with yellowish granules spanning approximately half the diameter of the disk was found on the left macula. Optical coherence tomography revealed serous detachment and hyperreflective debris, OCT angiography showed hyperreflective spots on the outer retina, enhanced depth imaging OCT revealed an increase in choroidal thickness, fundus autofluorescence showed hyperreflective spots, and fundus fluorescence angiography revealed late-phase hyperfluorescence accumulation. Acute idiopathic maculopathy was diagnosed from these findings.
Acute idiopathic maculopathy should be considered in the differential diagnosis of children presenting with a complaint of unilateral low vision.
报告一例儿童单侧急性特发性黄斑病变的临床表现。
病例报告。
一名 11 岁男性患者左眼视力下降 3 周，到迪亚巴克尔大学眼科诊所就诊。进行了眼底检查、光学相干断层扫描（OCT）、增强深度成像 OCT、眼底自发荧光和眼底荧光血管造影检查。眼底检查发现左眼黄斑区有一个约占盘径一半的肿胀的黄灰色区域，有黄色颗粒。OCT 显示浆液性脱离和高反射性碎片，OCT 血管造影显示外视网膜有高反射性斑点，增强深度成像 OCT 显示脉络膜厚度增加，眼底自发荧光显示高反射性斑点，眼底荧光血管造影显示晚期高荧光积聚。根据这些发现诊断为急性特发性黄斑病变。
对于单侧低视力的儿童，应考虑急性特发性黄斑病变作为鉴别诊断。
