Cystoid macular edema in gyrate atrophy of the choroid and retina: A fluorescein angiography and optical coherence tomography evaluation
Cystoid macular edema in gyrate atrophy of the choroid and retina: A fluorescein angiography and optical coherence tomography evaluation
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DOI：
10.1016/j.ajo.2004.12.083
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发表时间：
2005-07-01
影响因子：
4.2
通讯作者：
Belfort, R
中科院分区：
文献类型：
--
作者：
Oliveira, TL;Andrade, RE;Belfort, R
目的：分析光学相干断层扫描（OCT）对诊断脑回萎缩黄斑囊样水肿的重要性。设计：观察性病例报告。方法：对一名出现脉络膜和视网膜脑回萎缩的 12 岁男孩进行眼科、临床和实验室检查。结果：血浆鸟氨酸水平为 735 mu摩尔/升。荧光血管造影显示黄斑中央区域双侧荧光过度。光学相干断层扫描 (OCT) 显示双侧视网膜内囊肿区域反射率低，偶尔有桥接视网膜层和视网膜增厚的高信号元素。结论：对于没有任何黄斑囊样水肿临床证据的患者，荧光素血管造影和 OCT 都有助于确认黄斑受累的诊断，该患者是脉络膜和视网膜回旋萎缩的并发症。视力下降。 (c) 2005 年，Elsevier Inc. 保留所有权利。
PURPOSE: To analyze the importance of optical coherence tomography (OCT) to diagnose the cystoid macular edema in-a case of gyrate atrophy.DESIGN: Observational case report.METHODS: A 12-year-old boy presenting with gyrate atrophy of the choroid and retina underwent ophthalmologic, clinical, and laboratory tests.RESULTS: Plasma ornithine level was 735 mu mol/l. Fluorescein angiography showed bilateral hyperfluorescence involving the central region of the macula. Optical coherence tomography (OCT) disclosed bilateral intraretinal cysts areas of low reflectivity with occasional high-signal elements bridging the retinal layers and in, traretinal thickening.CONCLUSIONS: Both fluorescein angiography and OCT were helpful to confirm the diagnosis of macular involvement as a complication of gyrate atrophy of the choroid and retina in a patient who presented without any clinical evidence of cystoid macular edema, except a decrease in visual acuity. (c) 2005 by Elsevier Inc. All rights reserved.