在儿童中,双边和对称的暗无压力视网膜病变的多式成像
Marco Piergentili1, Prachi Sharma2, Anugya Agrawal3
1Ophthalmology, Southend University Hospital NHS Foundation Trust Ophthalmology Services, Westcliff-on-Sea, UK mpiergent@gmail.com.
BMJ case reports
|March 19, 2025
概括
本病例报告详细介绍了青少年的双边黑暗无压力 (DWP) 病变,这是一个罕见的发现,具有光恐惧症. 对这种情况的认识对于准确的诊断和患者的安慰至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 医疗成像医学成像
背景情况:
- 双边色素视网膜病变在儿科患者中可能会带来诊断挑战.
- 光恐惧症是一种与某些视网膜发现相关的显着症状.
- 没有压力的黑暗 (DWP) 病变通常是单边的和无症状的.
研究的目的:
- 描述一个罕见的双边和对称的DWP病变的案例,在一个青少年患者.
- 在儿科环境中强调DWP病变与光恐惧症的关联.
- 强调识别DWP病变的重要性,以防止不必要的调查.
主要方法:
- 临床转诊到儿科诊所进行双边色素视网膜病变的评估.
- 综合眼科检查,包括最佳校正视敏度和 fundus 检查.
- 多式成像:视网膜学, fundus自光学和光学连贯性断层扫描 (OCT).
主要成果:
- 鼻底检查显示了双边的,对称的,平面的,在鼻子中端外围视网膜上有明显的多色素病变.
- 图像 OCT 显示了在损伤边缘的视网膜外层的特征性高反射性.
- 双边对称的黑暗无压力 (DWP) 病变的诊断得到证实.
结论:
- 双边和对称的DWP病变可以发生在儿科患者中,呈现出光恐惧症.
- 临床医生必须意识到这种罕见的呈现,以避免误诊和不必要的程序.
- 早期识别和放心是治疗儿科DWP病变的关键组成部分.
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