鼻侧视盘发育不全的光学相干断层扫描血管造影结果。

Findings of optical coherence tomography angiography of nasal optic disc hypoplasia.

作者信息

Yoshimura Miki, Hashimoto Yuki, Hatanaka Arisu, Yoshitomi Takeshi

机构信息

Department of Orthoptics, Faculty of Medicine, Fukuoka International University of Health and Welfare, Fukuoka, Japan.

出版信息

Am J Ophthalmol Case Rep. 2024 Oct 16;36:102198. doi: 10.1016/j.ajoc.2024.102198. eCollection 2024 Dec.

DOI:10.1016/j.ajoc.2024.102198

PMID:39507852

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11539110/

Abstract

PURPOSE

This study aimed to present a case of a woman diagnosed with congenital nasal optic disc hypoplasia (NOH) in the right eye.

OBSERVATIONS

A woman in her 20s presented with a small optic disc, irregular optic disc margins with a double-ring sign, and wedge-shaped defects temporally extending from Mariotte's blind spot in the right eye. The radial peripapillary capillary (RPC) density around the optic nerve disc was examined using optical coherence tomography angiography (OCTA). The best-corrected visual acuity was 1.2 OU, and intraocular pressure was 12 mmHg OU. Optical coherence tomography C-scan detected thinning of the circumpapillary retinal nerve fiber layer, and OCTA revealed that a decrease in RPC density on the nasal side of the optic disc in the right eye was markedly lower than that in the other eye areas. Furthermore, it was lower than the RPC density on the nasal side of the left eye.

CONCLUSIONS AND IMPORTANCE

OCTA may help detect the clinical features and pathogenesis of NOH.

摘要

目的

本研究旨在报告一例右眼被诊断为先天性视盘发育不全（NOH）的女性病例。

观察结果

一名20多岁的女性，右眼视盘小，视盘边缘不规则且有双环征，颞侧有从生理盲点延伸而来的楔形缺损。使用光学相干断层扫描血管造影（OCTA）检查视神经盘周围的放射状视乳头周围毛细血管（RPC）密度。最佳矫正视力双眼均为1.2，眼压双眼均为12 mmHg。光学相干断层扫描C扫描检测到视乳头周围视网膜神经纤维层变薄，OCTA显示右眼视盘鼻侧的RPC密度降低明显低于其他眼区。此外，它低于左眼鼻侧的RPC密度。