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一名酪氨酸酶阳性白化病患儿的黄斑发育不全

Foveal Hypoplasia in a Child With Tyrosinase-Positive Albinism.

作者信息

Kavalaraki Alexandra, Paraskevopoulos Konstantinos, Kavalaraki Marianna, Karakosta Christina, Liaskou Maria

机构信息

Ophthalmology, Penteli General Children's Hospital, Athens, GRC.

Ophthalmology, Athens Naval Hospital, Athens, GRC.

出版信息

Cureus. 2023 Sep 2;15(9):e44558. doi: 10.7759/cureus.44558. eCollection 2023 Sep.

DOI:10.7759/cureus.44558
PMID:37790023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544804/
Abstract

The purpose of this article is to report a case of bilateral foveal hypoplasia in an eight-year-old girl who presented to the ophthalmology department due to poor vision in both eyes. Clinical examination revealed bilateral nystagmus, decreased vision, as well as iris transillumination. Dilated fundus examination indicated the absence of light reflex around the foveal area and optical coherence tomography (OCT) imaging exhibited the absence of the fovea centralis depression. These findings, in addition to the patient's light-colored hair and skin complexion, raised suspicion for albinism. The patient was referred for genetic testing and the results confirmed the diagnosis of tyrosinase-positive oculocutaneous albinism (OCA2).

摘要

本文旨在报告一例8岁女孩双侧中央凹发育不全的病例,该女孩因双眼视力差就诊于眼科。临床检查发现双侧眼球震颤、视力下降以及虹膜透照。散瞳眼底检查显示中央凹区域周围无光反射,光学相干断层扫描(OCT)成像显示中央凹无凹陷。除了患者浅色头发和皮肤肤色外,这些发现增加了对白化病的怀疑。该患者被转诊进行基因检测,结果证实诊断为酪氨酸酶阳性眼皮肤白化病(OCA2)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4a6/10544804/80eb0d16c52e/cureus-0015-00000044558-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4a6/10544804/4c11dabbc539/cureus-0015-00000044558-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4a6/10544804/80eb0d16c52e/cureus-0015-00000044558-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4a6/10544804/4c11dabbc539/cureus-0015-00000044558-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4a6/10544804/80eb0d16c52e/cureus-0015-00000044558-i02.jpg

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本文引用的文献

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Ophthalmological Manifestations of Oculocutaneous and Ocular Albinism: Current Perspectives.眼皮肤白化病和眼部白化病的眼科表现:当前观点
Clin Ophthalmol. 2022 May 24;16:1569-1587. doi: 10.2147/OPTH.S329282. eCollection 2022.
2
Genotypic and Phenotypic Spectrum of Foveal Hypoplasia: A Multicenter Study.黄斑发育不全的基因型和表型谱:一项多中心研究。
Ophthalmology. 2022 Jun;129(6):708-718. doi: 10.1016/j.ophtha.2022.02.010. Epub 2022 Feb 11.
3
Genetic causes of nystagmus, foveal hypoplasia and subnormal visual acuity- other than albinism.
除白化病外引起眼球震颤、中心凹发育不良和视力低下的遗传病因。
Ophthalmic Genet. 2021 Jun;42(3):243-251. doi: 10.1080/13816810.2021.1888128. Epub 2021 Feb 17.
4
Multimodal Imaging of Isolated Foveal Hypoplasia: A Case Report.孤立性黄斑发育不良的多模态影像学:病例报告。
Turk J Ophthalmol. 2020 Oct 30;50(5):321-323. doi: 10.4274/tjo.galenos.2020.58638.
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Foveal hypoplasia and optical coherence tomographic imaging.黄斑发育不全与光学相干断层扫描成像
Taiwan J Ophthalmol. 2018 Oct-Dec;8(4):181-188. doi: 10.4103/tjo.tjo_101_18.
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Clinical Insights Into Foveal Morphology in Albinism.白化病中黄斑形态的临床见解
J Pediatr Ophthalmol Strabismus. 2015 May-Jun;52(3):167-72. doi: 10.3928/01913913-20150427-06.
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Increasing the complexity: new genes and new types of albinism.增加复杂性:新基因与新型白化病
Pigment Cell Melanoma Res. 2014 Jan;27(1):11-8. doi: 10.1111/pcmr.12167. Epub 2013 Oct 17.
8
Structural grading of foveal hypoplasia using spectral-domain optical coherence tomography a predictor of visual acuity?应用频域光学相干断层扫描对黄斑发育不良进行结构分级——能预测视力吗?
Ophthalmology. 2011 Aug;118(8):1653-60. doi: 10.1016/j.ophtha.2011.01.028. Epub 2011 Apr 29.
9
Abnormal foveal morphology in ocular albinism imaged with spectral-domain optical coherence tomography.利用光谱域光学相干断层扫描成像观察眼白化病患者的异常黄斑形态。
Arch Ophthalmol. 2009 Jan;127(1):37-44. doi: 10.1001/archophthalmol.2008.550.
10
Correlation of visual acuity with foveal hypoplasia grading by optical coherence tomography in albinism.白化病患者中视力与光学相干断层扫描检测的黄斑发育不全分级的相关性
Ophthalmology. 2007 Aug;114(8):1547-51. doi: 10.1016/j.ophtha.2006.10.054. Epub 2007 Mar 6.