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作者等报告1例结晶样视网膜病变的患者,女性,37岁。主诉为视力逐渐下降。无夜盲,父母为血缘结婚。但家族中无同样眼病患者。眼部检查:视力双眼各为6/9、角膜正常、眼底镜检查:双眼视乳头色正常,血管正常。最引人著目者为后极部有很多结晶样闪光亮点,约1/2～1/3乳头上血管管径大小。黄斑部有色素脱失及增生。周边部有类似老年性视网膜色素变性。视野检查有环形暗点。暗适应检查示有轻度减退。ERC检查正常。EOC于光适应时为平波。眼底荧光血管造影显示部分脉络膜血管及色素上皮损失。血脂分析无明显异常。
The authors reported 1 patient with crystalline-like retinopathy, female, 37 years old. The main complaint is a gradual decline in vision. No night blind, parents marry blood. But there are no patients with the same eye disease in the family. Eye examination: eyesight each of 6/9, normal cornea, ophthalmoscopy: binocular papilloma, normal blood vessels. The most attractive for the posterior pole has many crystal-like flash highlights, about 1/2 ~ 1/3 nipple diameter of the blood vessels. Macular pigment loss and hyperplasia. Peripheral Ministry has a similar age-related retinitis pigmentosa. Visual inspection of the ring dark spots. Dark adaptation showed mild decline. ERC check is normal. EOC is smooth when it is adapted to light. Fundus fluorescein angiography showed partial loss of choroidal blood vessels and pigment epithelium. No significant abnormalities in lipids analysis.