Hayasaka S, Kiyosawa M, Katsumata S, Honda M, Takase S, Mizuno K
Arch Ophthalmol. 1984 Jan;102(1):88-93. doi: 10.1001/archopht.1984.01040030072039.
We examined 15 patients with myotonic dystrophy by cycloscopy, ophthalmoscopy, and fluorescein angiography. In six cases, we found depigmentation in the relatively short ciliary processes, which may account for ocular hypotony in this disorder. Eight of the patients had retinal lesions, three with butterfly-shaped dystrophy, two with reticular dystrophy, and three with peripheral yellow flecks. These lesions were biomicroscopically at the level of the retinal pigment epithelium or in the deep retinal layer and did not substantially alter visual functions. Psychophysical and electrophysiologic test results were normal or only slightly affected. The butterfly-shaped and reticular dystrophies in myotonic dystrophy may be variant forms of patterned dystrophy of the retinal pigment epithelium. The peripheral yellow flecks in a stone-wall configuration noted in this disorder are particularly unique and, to our knowledge, have not been documented previously.
我们通过循环镜检查、检眼镜检查和荧光素血管造影对15例强直性肌营养不良患者进行了检查。在6例患者中，我们发现相对较短的睫状突存在色素脱失，这可能是该疾病中眼压过低的原因。8例患者有视网膜病变，3例为蝶形营养不良，2例为网状营养不良，3例有周边黄色斑点。这些病变在生物显微镜下位于视网膜色素上皮水平或视网膜深层，并未显著改变视觉功能。心理物理学和电生理测试结果正常或仅略有影响。强直性肌营养不良中的蝶形和网状营养不良可能是视网膜色素上皮图案性营养不良的变异形式。在该疾病中发现的呈石墙状排列的周边黄色斑点尤为独特，据我们所知，此前尚未有相关记录。
