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盲点扩大：一项鉴别诊断挑战。

Blind spot enlargement: A differential diagnosis challenge.

作者信息

Karamaounas Aristotelis, Sideri Anna M, Tsiogka Anastasia, Georgiou Iordanis, Kourkoutas Dimitrios, Petrou Petros

机构信息

Department of Ophthalmology, "G. Gennimatas" General Hospital of Athens, Athens, Greece.

Department of Ophthalmology, 401 General Military Hospital of Athens, Athens, Greece.

出版信息

Saudi J Ophthalmol. 2023 Mar 9;37(1):66-68. doi: 10.4103/sjopt.sjopt_132_21. eCollection 2023 Jan-Mar.

DOI:10.4103/sjopt.sjopt_132_21
PMID:36968769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10032287/
Abstract

A 39-year-old woman, without any systemic or ocular history, presented with a paracentral scotoma in her right eye with normal visual acuity. Humphrey's visual fields showed a reversible enlargement of the right blind spot. The final diagnosis was acute idiopathic blind spot enlargement which was successfully treated with intravenous steroids. Although differential diagnosis of blind spot enlargement can be challenging, multimodal imaging with combination of visual field's assessment can help us make the right diagnosis.

摘要

一名39岁女性，无任何全身或眼部病史，右眼出现旁中心暗点，视力正常。汉弗莱视野检查显示右眼盲点可逆性扩大。最终诊断为急性特发性盲点扩大，经静脉注射类固醇治疗成功。尽管盲点扩大的鉴别诊断可能具有挑战性，但结合视野评估的多模态成像有助于我们做出正确诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/9fe0e83108bf/SJO-37-66-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/53a12448a3bb/SJO-37-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/4d813073506f/SJO-37-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/ce30757e08ee/SJO-37-66-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/9fe0e83108bf/SJO-37-66-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/53a12448a3bb/SJO-37-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/4d813073506f/SJO-37-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/ce30757e08ee/SJO-37-66-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bba/10032287/9fe0e83108bf/SJO-37-66-g004.jpg

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1
Blind spot enlargement: A differential diagnosis challenge.盲点扩大：一项鉴别诊断挑战。
Saudi J Ophthalmol. 2023 Mar 9;37(1):66-68. doi: 10.4103/sjopt.sjopt_132_21. eCollection 2023 Jan-Mar.
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[Acute idiopathic blind spot enlargement syndrome associated with choroidal neovascularization].[与脉络膜新生血管相关的急性特发性盲点扩大综合征]
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Acute idiopathic blind spot enlargement. A spectrum of disease.急性特发性盲点扩大。一种疾病谱。
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Multiple evanescent white dot syndrome.多发性一过性白点综合征
J Am Optom Assoc. 1997 Dec;68(12):769-74.
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Protracted enlargement of the blind spot in multiple evanescent white dot syndrome.多发性一过性白点综合征中盲点的持续性扩大。
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Acute idiopathic blind spot enlargement syndrome: prolonged retinal dysfunction revealed by multifocal electroretinogram technique.急性特发性盲点扩大综合征：多焦视网膜电图技术揭示的视网膜功能障碍延长
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本文引用的文献

1
Acute Idiopathic Blind Spot Enlargement and Acute Zonal Occult Outer Retinopathy: Potential Mimics of Neuro-Ophthalmic Disease.急性特发性盲点扩大与急性区域性隐匿性外层视网膜病变：神经眼科疾病的潜在模仿者
J Neuroophthalmol. 2020 Sep;40 Suppl 1:S43-S50. doi: 10.1097/WNO.0000000000001021.
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An unusual case of unilateral chorioretinitis and blind spot enlargement associated with asymptomatic West Nile virus infection.一例与无症状西尼罗河病毒感染相关的单侧脉络膜视网膜炎及盲点扩大的罕见病例。
Am J Ophthalmol Case Rep. 2020 Apr 23;18:100723. doi: 10.1016/j.ajoc.2020.100723. eCollection 2020 Jun.
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Acute idiopathic blind spot enlargement syndrome following measles, mumps and rubella vaccination.
麻疹、腮腺炎和风疹疫苗接种后急性特发性盲点扩大综合征
Can J Ophthalmol. 2019 Aug;54(4):e199-e203. doi: 10.1016/j.jcjo.2018.09.005. Epub 2018 Dec 11.
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Recovery of outer retina in acute idiopathic blind spot enlargement (AIBSE).急性特发性盲点扩大（AIBSE）中外层视网膜的恢复。
Am J Ophthalmol Case Rep. 2016 Mar 11;1:13-15. doi: 10.1016/j.ajoc.2016.02.002. eCollection 2016 Apr.
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Arch Ophthalmol. 2001 Jan;119(1):59-63.
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Peripapillary lesions causing blind spot enlargement in a case of multiple evanescent white spot syndrome.在一例多发性一过性白点综合征中导致盲点扩大的视乳头周围病变
Eye (Lond). 1998;12 ( Pt 3a):482-4. doi: 10.1038/eye.1998.113.
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Acute idiopathic blind spot enlargement. A big blind spot syndrome without optic disc edema.急性特发性盲点扩大。一种无视盘水肿的大盲点综合征。
Arch Ophthalmol. 1988 Jan;106(1):44-9. doi: 10.1001/archopht.1988.01060130050026.