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先天性遗传性性连锁视网膜劈裂症

Congenital hereditary sex-linked retinoschisis.

作者信息

Prosperi L

出版信息

J Pediatr Ophthalmol Strabismus. 1978 Jan-Feb;15(1):26-30. doi: 10.3928/0191-3913-19780101-09.

Abstract

A case of juvenile idiopathic sex-linked retinoschisis in a six-month-old child was followed for seven years. The familiar occurrence in males was in agreement with the sex-linked inheritance. The appearance at an early age in the left eye confirmed the congenital nature of the disease and the possibility that the ophthalmoscopic features might be present at birth, at least monocularly. In the right eye the ophthalmoscopial normaility of the vitreous as well as the early and severe abnormality of the electroretinographic findings (normal "a" wave, microvolted "b" photopic wave, extinct "b" scotopic wave and presence of only the first wavelet of the oscillatory potentials) at the initial stage of maculopathy induced the author to suppose that there might be primarily a tapeto-retinal heredodegeneration and that the pseudocystic degeneration of the inner layers could be a secondary manifestation of the disease.

摘要

对一名6个月大患有青少年特发性性连锁视网膜劈裂症的患儿进行了7年的随访。男性患者中常见的家族发病情况与性连锁遗传相符。左眼在幼年时发病证实了该病的先天性本质,以及眼底镜检查特征可能在出生时就已存在,至少单眼如此。在右眼,玻璃体的眼底镜检查正常,而在黄斑病变初期,视网膜电图检查结果出现早期且严重异常(“a”波正常,明视下微伏级“b”波,暗视下“b”波消失,仅存在振荡电位的第一个小波),这使作者推测可能主要存在脉络膜视网膜遗传性变性,而内层的假囊肿性变性可能是该疾病的继发表现。

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