多重 evanescent白点综合征伪装为非典型的视神经炎:一个病例报告
Kwang Eon Han1, Seung Min Lee1, Su-Jin Kim2
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 50612, South Korea.
Journal of medical case reports
|February 22, 2025
概括
多重 evanescent 白点综合征可以模仿视神经炎,特别是当呈现与盘子胀和视觉缺陷. 像OCT和自光等先进的成像技术对于准确的诊断至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经眼科神经眼科
背景情况:
- 多发 evanescent 白点综合征 (MEWDS) 是一种罕见的后膜炎.
- MEWDS可能呈现出短暂的视网膜白点,在诊断时通常是看不见的.
- 它可能模仿视神经炎,因为视野缺陷和圆盘胀等重叠症状.
研究的目的:
- 报告一个MEWDS病例呈现为非典型的视神经炎在一个年轻的女性.
- 突出诊断挑战和先进成像在区分MEWDS和视神经炎中的作用.
主要方法:
- 一个23岁的女性患有单侧眼睛疼痛和视野缺陷的案例介绍.
- 诊断工作包括视力敏度,瞳孔反应, fundus 检查,光体血管学,MRI,多焦点电网红图, fundus 自光学,面对面的 OCT 和扫描源 OCT.
- 根据临床发现和成像结果,MEWDS的诊断得到了确认.
主要成果:
- 患者出现了暗示非典型视神经炎的症状,包括圆盘胀和相对系瞳孔缺陷.
- 光素血管学显示过光斑和磁盘泄漏.
- 先进的成像揭示了MEWDS的特征发现:超自发光病变,面对的OCT上的超反射点,以及扫描源OCT上的不规则的圆形区域变化.
结论:
- 带有磁盘胀,眼睛疼痛和RAPD的MEWDS可能被误诊为视神经炎.
- 面对OCT,蓝光底部自光和扫描源OCT是对非典型视神经炎的差异诊断有价值的工具.
- 早期和准确的MEWDS诊断对于适当的管理和视力恢复至关重要.
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