Chang S, Haik B G, Ellsworth R M, St Louis L, Berrocal J A
Am J Ophthalmol. 1984 May;97(5):596-600. doi: 10.1016/0002-9394(84)90379-9.
A 14-year-old girl had headaches and sudden loss of vision as a result of total retinal detachment in association with the morning glory optic nerve anomaly. Metrizamide cisternography with contrast dye introduced into the subarachnoid space disclosed migration of metrizamide with radiographic enhancement in the subretinal space. The demonstration of an abnormal communication between the subarachnoid and subretinal spaces suggested that the subretinal fluid is of cranial origin. The patient underwent surgical removal of a window of dura from the optic nerve sheath. This resulted in retinal reattachment and improvement of visual acuity to 20/200. The retina was still attached after a 15-month follow-up period.
一名14岁女孩因牵牛花视神经异常合并视网膜完全脱离而出现头痛和视力突然丧失。将造影剂甲泛葡胺注入蛛网膜下腔进行脑池造影，显示甲泛葡胺在视网膜下腔迁移并伴有影像学增强。蛛网膜下腔与视网膜下腔之间存在异常交通，提示视网膜下液起源于颅内。患者接受了视神经鞘硬膜开窗手术切除。这使得视网膜重新附着，视力提高到20/200。经过15个月的随访，视网膜仍保持附着状态。
