在眼睛中同时出现的副中心急性中间斑点病变和急性斑点神经网膜病变,这些病变发生在伤后的眼睛中
Nikita Goel1, Zubin D' Souza1, Abhishek Tripathi1
1Department of VitreoRetina, Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata, West Bengal, India.
Indian journal of ophthalmology
|July 7, 2023
概括
眼创伤可以同时导致副中心急性中性黄斑病 (PAMM) 和急性黄斑神经网膜病 (AMN). 这种以前未报告的综合疾病可能会影响视力恢复,需要仔细检查OCT.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜成像 视网膜成像
- 创伤研究 创伤研究
背景情况:
- 眼创伤是视力障碍的重要原因之一.
- 偏中心性急性中间斑点病变 (PAMM) 和急性斑点神经网膜病变 (AMN) 是不同的视网膜疾病.
- 在重创伤后,PAMM和AMN的同时发生以前没有被记录.
研究的目的:
- 为了调查与PAMM和AMN同时发生的患者在眼创伤后的成像特征.
- 分析这些患者的临床进展和视觉结果.
主要方法:
- 对被诊断为PAMM和AMN的患者进行了回顾性分析.
- 通过增强深度成像光学连贯性断层扫描 (EDI-OCT) 证实了诊断.
- 纳入标准:来自13名有重创伤史的个人的13只眼睛.
主要成果:
- 所有13名患者均出现单边参与和同时出现PAMM和AMN病变.
- 大多数患者是男性 (85%),平均年龄为33.62岁.
- 最初的视力敏度很差 (平均1.67 logMAR),在最后一次访问时部分恢复 (平均0.82 logMAR).
结论:
- PAMM和AMN同时发生表明,在重创伤中存在着共同的病理生理机制.
- 这两种情况的准确诊断需要详细的OCT和OCT血管学 (OCTA) 审查.
- 同时使用PAMM和AMN可能有助于低于最佳视力恢复.
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