Foveal spot - A report of thirteen patients

Foveal spot - A report of thirteen patients
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DOI:
10.1097/00006982-200306000-00010
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发表时间:
2003-06-01
影响因子:
3.3
通讯作者:
Brucker, AJ
Brucker, AJ
中科院分区:
医学2区
文献类型:
--
作者:
Douglas, RS;Duncan, J;Brucker, AJ

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目的:描述一系列患者的自然病史与一个小的中心凹或juxtapovealredlesions.Methods:回顾性图表审查13例患者与一个小的中心凹或juxtapovealredspot。结果:13例患者的平均年龄为34.6岁的报告。最初的视觉投诉范围从无投诉到轻度模糊和视觉中心扭曲。所有患者均无凝视太阳或已知黄斑疾病的病史。13例患者中有11例患者的患眼最佳矫正视力优于20/30。病变为双侧5例,单侧8例。进行光学相干断层扫描和荧光素血管造影时无异常。随访7例患者(平均58个月),所有受影响的眼睛视力保持稳定。在所有患者中,病变保持稳定,没有扩大或改变的中心凹外观在follow-up.Conclusions的过程中:本报告确定了一个中心凹或juxifoveal,不规则的,显然是视网膜内,红色病变的原因不明。这些患者的长期随访显示了稳定的视力和病变外观。
Purpose: To describe the natural history of a series of patients with a small foveal or juxtafoveal red lesion.Methods: Retrospective chart review of 13 patients with a small foveal or juxtafoveal red spot. Long-term follow-up examination was obtained in seven patients.Results: Thirteen patients with a mean age of 34.6 years are reported. Initial visual complaints ranged from no complaints to mild blurring and central distortion of vision. None of the patients had a history of sun gazing or known macular disease. Eleven of the 13 patients had best-corrected visual acuities in the involved eye that were better than 20/30. The lesions were bilateral in five patients and unilateral in eight. When performed, optical coherence tomography and fluorescein angiography were unremarkable. Follow-up was obtained in seven patients (mean, 58 months), and visual acuity remained stable in all affected eyes. In all patients, the lesions remained stable without expansion or alteration of the foveal appearance over the course of follow-up.Conclusions: This report identifies a foveal or juxtafoveal, irregular, apparently intraretinal, red lesion of unclear cause. Long-term follow-up of these patients has demonstrated stable visual acuity and lesion appearance.