论文部分内容阅读
作者报告一例女性,25岁。主诉每日头痛,左眼视力减退6个月。视力:右6/6,左1/120,左眼视力不能矫正。双眼后极部均有一轻微隆起的视网膜下桔红色肿块,由视乳头向各方向伸展几个视盘直径。右眼黄斑正常,左眼视网膜下色素增生和盘样黄斑脱离。眼底荧光血管造影显示左眼后极部荧光增强,右眼后极部仅有轻微增强。超声扫描双眼眶后方无反射回声。CT扫描证实双眼后极部广泛钙化,符合脉络膜骨瘤诊断。一年后复查,视力:右眼6/4.5,左眼2尺指数。左眼视野有中心暗点,眼底大致无改变。3个月后右眼视力突然减退,双眼均为3尺指数。眼底检查发现右眼色素上皮和黄斑部有出血性脱离。此后5个月,右眼出血逐渐吸收。黄斑处虽有机化瘢痕但视力为6/15。视野检查:右眼
The authors report a female, 25 years old. Chief complaint daily headache, left eye vision loss 6 months. Vision: right 6/6, left 1/120, left eye vision can not be corrected. The posterior pole of both eyes have a slight bulge under the retina orange mass, by the optic disc to extend in all directions several optic disc diameter. Right eye macular normal left subretinal hyperpigmentation and disk-like macular detachment. Fundus fluorescein angiography showed enhanced fluorescence in the posterior pole of the left eye and only slightly enhanced posterior pole in the right eye. Ultrasound scan no back echo of both eyes. CT scan confirmed extensive calcification of the posterior pole, in line with the diagnosis of choroidal osteoma. A year later, visual acuity: right eye 6 / 4.5, left eye 2 feet index. Left eye vision center dark spots, almost no change in fundus. 3 months after sudden loss of vision in the right eye, both eyes are 3-foot index. Fundus examination found that right eye pigment epithelium and macular hemorrhagic detachment. After 5 months, right eye bleeding gradually absorbed. Although the organic scars macular Department but the visual acuity of 6/15. Visual examination: right eye