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首页> 外文期刊>Open Journal of Ophthalmology >Combined Hamartoma of the Optic Disc and Retinal Pigment Epithelium—3 Years of the Follow-Up with Semi-Automated Kinetic Perimetry
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Combined Hamartoma of the Optic Disc and Retinal Pigment Epithelium—3 Years of the Follow-Up with Semi-Automated Kinetic Perimetry

机译：视盘和视网膜色素上皮细胞的联合成瘤-三年半自动动态视野检查法的随访

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摘要

Aim: To present a case of hamartoma of the optic disc and Retinal Pigment Epithelium (RPE) and follow up of the visual function over three-years period. Methods: A seventeen-year-old boy has observed reduced visual acuity in his left eye. The visual acuity was 0.2 and there was RAPD in the left eye. Fundoscopy revealed an elevation of the optic disc obscuring disc vessels with epiretinal gliosis. Fluorescein angiography demonstrated hyperfluorescent saccular dilatations with leakage in the late phase. Ocular Coherence Tomography (OCT) showed hyperreflective elevation of the optic disc and epiretinal membrane. There was a juxtapapillary scotoma in Semi-automated Kinetic Perimetry (SKP). There was no systemic diseases. Results of blood tests, CT and MRI of CNV were normal. Results: After 3 years period of the follow-up the visual acuity was 0.1 and there was a progression of the visual field defect to the altitudinal scotoma in the upper hemisphere. Fluorescein anhiography and OCT revealed the same. Conclusion: Hamartoma of RPE and optic disc is a rare condition consisting of glial, vascular and RPE cells. It should be differentiated from optic disc oedema and vascular tumors of the retina. Assessment of the visual function is very important in the longitudinal follow-up.
机译：目的：介绍一例视盘错构和视网膜色素上皮（RPE）的病例，并在三年期间随访视功能。方法：一个十七岁的男孩观察到左眼视力下降。视力为0.2，左眼有RAPD。眼底镜检查发现视盘升高，使视神经乳头前盘神经胶质变模糊。荧光素血管造影显示，高荧光囊扩张，晚期渗漏。眼相干断层扫描（OCT）显示视盘和视网膜前膜超反射性抬高。在半自动动力学视野测定法（SKP）中有一个近乳头状的乳突状细胞瘤。没有全身性疾病。血液检查，CNV的CT和MRI检查结果均正常。结果：随访3年后，视力为0.1，并且视野缺损逐渐发展为上半球的高度暗点。荧光素造影和OCT显示相同。结论：RPE和视盘的哈氏瘤是由胶质，血管和RPE细胞组成的罕见病。它应与视盘水肿和视网膜血管瘤相区别。视觉功能的评估在纵向随访中非常重要。

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