光盘洞:是二次多重 evanescent 白点综合征的触发因素
Shivesh Varma1,2, Royce W S Chen3, Jeffrey M Liebmann3
1Vitreous Retina Macula Consultants of New York, New York, USA.
Retinal cases & brief reports
|April 25, 2025
概括
光盘洞可以触发二次多重消失白点综合征 (MEWDS). 这种情况可能呈现为"没有点的斑点",使其与初级MEWDS区别开来.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 神经眼科神经眼科
背景情况:
- 多发 evanescent 白点综合征 (MEWDS) 是一种影响视网膜外侧的异常性炎症状况.
- 越来越多地认识到MEWDS的次要形式.
- 光盘异常,如光盘坑,很少被认为是触发因素.
研究的目的:
- 报告一个由光盘洞触发的二次MEWDS病例.
- 为了研究这种特定表现的临床和成像特征.
- 为了区分这种二次形式与初级MEWDS.
主要方法:
- 观察情况报告.
- 临床检查和多式成像 (包括 fundus 自体光).
- 在三个月的时间里进行了连续的跟踪.
主要成果:
- 一名41岁的男性出现视力丧失和右眼的光.
- 临床和成像发现与单边的MEWDS一致,视觉盘坑被怀疑是触发因素.
- 底部自光显示过时的超自光斑,没有在初级MEWDS中看到的典型的超自光点.
- 视力敏度在三个月内从20/100提高到20/25.
结论:
- 光盘坑可以作为二次MEWDS的触发器.
- 在底部自光上呈现"没有点的斑点"可能是二次MEWDS的特征.
- 这一案例扩大了对二次性MEWDS潜在病因的理解.
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