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老年双侧中心性浆液性脉络膜视网膜病变误诊为双侧湿性年龄相关性黄斑变性1例报告

Elderly Patient With Bilateral Central Serous Chorioretinopathy Misdiagnosed as Bilateral Wet Age-Related Macular Degeneration: A Case Report.

作者信息

Alomari Amal, Issa Sara, Abusamak Mohammad

机构信息

Department of Special Surgery, Al-Balqa Applied University, As-Salt, JOR.

Department of Ophthalmology, Amman Eye Clinic, Amman, JOR.

出版信息

Cureus. 2024 Jul 10;16(7):e64210. doi: 10.7759/cureus.64210. eCollection 2024 Jul.

Abstract

This report presents a unique case of a 77-year-old diabetic male patient with bilateral central serous chorioretinopathy (CSCR), who was receiving multiple bilateral intravitreal injections for a presumed diagnosis of wet age-related macular degeneration (AMD). The fundus examination did not show any signs of AMD or diabetic retinopathy (DR). The spectral domain optical coherence tomography (OCT) revealed bilateral subretinal fluid. The neovascular membrane was not visible on OCT angiography. Fundus fluorescein angiography (FFA) confirmed the absence of choroidal neovascularization (CNV). Notably, this represents a unique case of an elderly patient with CSCR mimicking occult CNV.

摘要

本报告介绍了一例独特病例,一名77岁的糖尿病男性患者患有双侧中心性浆液性脉络膜视网膜病变(CSCR),因疑似湿性年龄相关性黄斑变性(AMD)而接受多次双侧玻璃体内注射。眼底检查未显示任何AMD或糖尿病视网膜病变(DR)的迹象。光谱域光学相干断层扫描(OCT)显示双侧视网膜下液。OCT血管造影未发现新生血管膜。眼底荧光血管造影(FFA)证实无脉络膜新生血管(CNV)。值得注意的是,这是一例老年CSCR患者模仿隐匿性CNV的独特病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/840f/11310736/df151180081f/cureus-0016-00000064210-i01.jpg

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