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对侧眼自发性消退及非遗传性特发性黄斑中心凹视网膜劈裂的异步发作

Spontaneous Resolution and Asynchronous Onset of Stellate Nonhereditary Idiopathic Foveomacular Retinoschisis in the Contralateral Eye.

作者信息

Bayram-Suverza Mauricio, Ramírez-Estudillo Abel

机构信息

Retina Department, Fundación Hospital de Nuestra Señora de La Luz, Mexico City, Mexico.

出版信息

J Vitreoretin Dis. 2024 Dec 30:24741264241309681. doi: 10.1177/24741264241309681.

Abstract

To present a patient with stellate nonhereditary idiopathic foveomacular retinoschisis found with multimodal imaging. A single case was evaluated. A 70-year-old woman presented with schisis cavities in the outer plexiform layer in the left eye on macular optical coherence tomography. No leakage was detected by fluorescein angiography. After ruling out other causes of nonvasogenic cystoid maculopathy, the patient was diagnosed with stellate nonhereditary idiopathic foveomacular retinoschisis. After 5 years, the best-corrected visual acuity remained stable. The retinoschisis in the left eye had resolved, and cystoid spaces appeared in the lower portion of the macula in the right eye despite the absence of vitreomacular traction. There was no history of ocular procedures or medication use that could have affected the course of the pathology during the intervening period. This case emphasizes the importance of performing multimodal imaging to monitor the characteristics of stellate nonhereditary idiopathic foveomacular retinoschisis as they evolve.

摘要

介绍一例通过多模态成像发现的星状非遗传性特发性黄斑视网膜劈裂患者。评估了一例病例。一名70岁女性,黄斑光学相干断层扫描显示左眼外丛状层存在视网膜劈裂腔。荧光素血管造影未检测到渗漏。排除非血管性黄斑囊样病变的其他病因后,该患者被诊断为星状非遗传性特发性黄斑视网膜劈裂。5年后,最佳矫正视力保持稳定。左眼的视网膜劈裂已消退,尽管没有玻璃体黄斑牵拉,但右眼黄斑下部出现了囊样间隙。在此期间,没有眼部手术或用药史可能影响病情发展。该病例强调了进行多模态成像以监测星状非遗传性特发性黄斑视网膜劈裂演变特征的重要性。

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