RECURRENCES AND BILATERALITY IN THE MULTIPLE EVANESCENT WHITE-DOT SYNDROME

RECURRENCES AND BILATERALITY IN THE MULTIPLE EVANESCENT WHITE-DOT SYNDROME
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DOI:
10.1016/s0002-9394(14)74979-7
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发表时间:
1985-01-01
影响因子:
4.2
通讯作者:
JOFFE, L
JOFFE, L
中科院分区:
医学1区
文献类型:
--
作者:
AABERG, TM;CAMPO, RV;JOFFE, L

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2例男性(分别为23岁和44岁)复发了多发性一过性白点综合征。1例患者在最初视力丧失后3年在先前受影响的眼睛中复发;另1例患者在对侧眼睛中复发2次,每次间隔2年。另外两名患者(一名28岁女性和一名21岁男性)有双侧但不对称的急性受累。计算机视觉研究显示双眼视网膜灵敏度丧失,与临床观察到的病变相关性较差。双侧受累患者的眼电图结果异常;视网膜电图结果仅在受累较严重的眼异常。2例双侧病例的系统性研究未显示。4例患者均未发生过流感样疾病,所有患者均在4-6周内视力完全恢复。
Multiple evanescent white-dot syndrome recurred in 2 men (23 and 44 yr of age, respectively). One patient had a recurrence in the previously affected eye 3 yr after the initial visual loss; the other patient had 2 recurrences in the contralateral eye, each separated by 2 yr. Two additional patients (a 28 yr-old woman and a 21-yr-old man) had bilateral but asymmetric acute involvement. Computerized visual study showed a loss of retinal sensitivity in both eyes, correlating poorly with the clinically observed lesions. Results of electro-oculography were abnormal in the patients with bilateral involvement; results of electroretinography were abnormal only in the more severely involved eye. Systemic investigation in the 2 bilateral cases was unrevealing. None of the 4 patients had experienced a preceding influenza-like illness and all had complete recovery of vision within 4-6 wk.