玻璃体后脱离后视盘小凹性黄斑病变的消退
Resolution of Optic Disc Pit Maculopathy Following Posterior Vitreous Detachment.
作者信息
Mannaa Ali H, Issa Reda A, Bryan J Shepard
机构信息
Wayne State University School of Medicine, Detroit, MI, USA.
Associated Retina Consultants, Phoenix, AZ, USA.
出版信息
J Vitreoretin Dis. 2021 Oct 4;6(5):419-423. doi: 10.1177/24741264211046766. eCollection 2022 Sep-Oct.
PURPOSE
This work presents a case of significant improvement of optic pit disc maculopathy following an acute posterior vitreous detachment (PVD) and discusses the possible mechanisms of this phenomenon.
METHODS
A case report and review of the literature are presented.
RESULTS
A 56-year-old man presenting with progressive visual decline in his left eye was found to have an optic disc pit with optical coherence tomography (OCT) evidence of severe intraretinal edema and maculoschisis. His visual acuity and macular anatomy on OCT improved dramatically in the months following a PVD.
CONCLUSIONS
This report presents an interesting case of spontaneous improvement of optic disc pit-related maculopathy following PVD. We discuss the cause of the retinal fluid accumulation in optic disc pit maculopathy and consider that the OCT findings in our case lend credence to the theory that this fluid originates from the vitreous humor.
目的
本文介绍了一例急性玻璃体后脱离（PVD）后视盘小凹性黄斑病变显著改善的病例，并探讨了这一现象的可能机制。
方法
进行病例报告并复习文献。
结果
一名56岁男性因左眼视力进行性下降就诊，经光学相干断层扫描（OCT）检查发现视盘小凹，并伴有严重的视网膜内水肿和黄斑劈裂。在发生PVD后的数月内，他的视力和OCT检查显示的黄斑解剖结构显著改善。
结论
本报告展示了一例PVD后视盘小凹相关性黄斑病变自发改善的有趣病例。我们讨论了视盘小凹性黄斑病变中视网膜积液的原因，并认为本病例的OCT检查结果支持这种液体源自玻璃体液的理论。
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