盲点扩大：一项鉴别诊断挑战。

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

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

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

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

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.

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。