Herniation of the retina in the central macula in an adult after iridocyclitis.

眼科学报 Pub Date : 2014-09-01

Qing Guo, Yuli Pi, Ting Gao

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Abstract

Purpose: To report an unusual case of retinal hernia in the central macula in an adult after iridocyclitis.

Case report: We report a case of a 46-year-old male who presented with blurred vision 2 weeks after complete resolution of acute iridocyclitis. Anterior segment and vitreous body examinations were unremarkable. Yellowish spots in the macular area were observed. Spectral domain optical coherence tomography (SD-OCT) imaging of the macula showed loss of the inner segment/outer segment (IS/OS) photoreceptor junction, with irregularity of the retinal pigment epithelium (RPE), and a V-shaped hernia of the retina into the choroid. The macular lesions emerged as mild window defects on fluorescein angiography and were visualized as hypofluorescent patches on all-phase indocyanine green angiography. At a one month follow-up, the best-corrected visual acuity improved to 20/20, which was followed by partial restoration of the IS/OS line, but a V-shaped hernia of the retina remained unchanged on SD-OCT.

Conclusion: Ophthalmologists should be alert to the changes in OCT of the macula in patients after iridocyclitis and further research on the cause and possible predisposing factors for retinal herniation is warranted.

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虹膜睫状体炎后成人中央黄斑视网膜突出。

目的:报告一例罕见的成人虹膜睫状体炎后视网膜中央黄斑疝。病例报告:我们报告一例46岁男性，急性虹膜睫状体炎完全消退2周后出现视力模糊。前节及玻璃体检查无明显差异。黄斑区可见淡黄色斑点。光谱域光学相干断层扫描(SD-OCT)显示黄斑内段/外段(IS/OS)光感受器连接缺失，视网膜色素上皮(RPE)不规则，视网膜v型疝进入脉络膜。黄斑病变在荧光素血管造影上表现为轻度窗口缺陷，在全期吲哚菁绿血管造影上表现为低荧光斑块。在一个月的随访中，最佳矫正视力提高到20/20，随后IS/OS线部分恢复，但SD-OCT上的视网膜v型疝保持不变。结论:眼科医生应注意虹膜睫状体炎后黄斑OCT的变化，进一步研究视网膜突出的病因及可能的易感因素是有必要的。

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来源期刊

眼科学报

自引率

0.00%

发文量

1312

期刊介绍： Eye science was founded in 1985. It is a national medical journal supervised by the Ministry of Education of the People's Republic of China, sponsored by Sun Yat-sen University, and hosted by Sun Yat-sen University Zhongshan Eye Center (in October 2020, it was changed from a quarterly to a monthly, with the publication number: ISSN: 1000-4432; CN: 44-1119/R). It is edited by Ge Jian, former dean of Sun Yat-sen University Zhongshan Eye Center, Liu Yizhi, director and dean of Sun Yat-sen University Zhongshan Eye Center, and Lin Haotian, deputy director of Sun Yat-sen University Zhongshan Eye Center, as executive editor. It mainly reports on new developments and trends in the field of ophthalmology at home and abroad, focusing on basic research in ophthalmology, clinical experience, and theoretical knowledge and technical operations related to epidemiology. It has been included in important databases at home and abroad, such as Chemical Abstract (CA), China Journal Full-text Database (CNKI), China Core Journals (Selection) Database (Wanfang), and Chinese Science and Technology Journal Database (VIP).