Hypertensive choroidopathy with eclampsia viewed on spectral-domain optical coherence tomography.
Hypertensive choroidopathy with eclampsia viewed on spectral-domain optical coherence tomography.
复制标题
谱域光学相干断层扫描显示高血压脉络膜病变伴子痫。
DOI：
10.1007/s00417-013-2462-9
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Yoshida A.
中科院分区：
文献类型：
--
作者：
Song YS;Kinouchi R;Ishiko S;Fukui K;Yoshida A.
目的报道一例高血压脉络膜病，应用光谱域光学相干断层扫描(SD-OCT)获得详细的视网膜图像。病例为19岁，无高血压病史的孕妇，孕39周出现子痫发作，婴儿经紧急剖宫产分娩。6天后，她出现双眼视力模糊(最佳矫正视力[VA]，0.5，右眼；0.3，左眼)。后眼底可见双侧广泛的、点状的淡黄色Elschnig斑点。SD-OCT显示浆液性视网膜脱离(SRD)和视网膜色素上皮脱离(PED)，代表每只眼的波形视网膜色素上皮(RPE)层。在波形RPE处，反射强度部分降低。在光感受器椭圆区和RPE外节线之间的两个中心凹内均存在一种似纤维蛋白的波状结构。产后4周及口服降压治疗后，SRDS、PED及波状结构消失，VA恢复。结论SD-OCT可显示高血压脉络膜病的SRDS、PED、感光椭圆区下的波状结构及RPE层低密度区。
PurposeWe report a case of hypertensive choroidopathy with detailed retinal images obtained using spectral-domain optical coherence tomography (SD-OCT).CaseA 19-year-old pregnant woman with no history of high blood pressure had an eclamptic seizure at the 39th week of pregnancy; the baby was delivered by emergency Caesarean section. Six days later, she presented with bilateral blurred vision (best-corrected visual acuity [VA], 0.5, right eye; 0.3, left eye). Bilateral extensive, punctate, pale-yellow Elschnig’s spots were present in the posterior fundus. SD-OCT showed a serous retinal detachment (SRD) and retinal pigment epithelium detachment (PED) representing a waveform retinal pigment epithelium (RPE) layer in each eye. The reflective intensity decreased partly at the waveform RPE. A wavy structure suggestive of fibrin was present in both foveas between the photoreceptor ellipsoid zone and the RPE-outer segment line. Four weeks after delivery and oral antihypertensive treatment, the SRDs, PEDs and wavy structure resolved and the VA recovered.ConclusionSD-OCT visualized SRDs, PEDs, wavy structures under the photoreceptor ellipsoid zone, and areas of low intensity RPE layer in hypertensive choroidopathy.