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首页> 外文期刊>Journal of Medical Case Reports >Infrared imaging and spectral-domain optical coherence tomography findings correlate with microperimetry in acute macular neuroretinopathy: a case report
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Infrared imaging and spectral-domain optical coherence tomography findings correlate with microperimetry in acute macular neuroretinopathy: a case report

机译：红外成像和光谱域光学相干断层扫描结果与急性黄斑神经视网膜病变的微视野检查相关：一例报告

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Introduction Spectral-domain optical coherence tomography findings in a patient with acute macular neuroretinopathy, and correlation with functional defects on microperimetry, are presented. Case presentation A 25-year old Caucasian woman presented with bitemporal field defects following an upper respiratory tract infection. Her visual acuity was 20/20 in both eyes and a dilated fundus examination revealed bilateral hyperpigmentary changes in the papillomacular bundle. Our patient underwent further evaluation with spectral-domain optical coherence tomography, infrared and fundus autofluorescence imaging. Functional changes were assessed by microperimetry. Infrared imaging showed the classic wedge-shaped defects and spectral-domain optical coherence tomography exhibited changes at the inner segment-outer segment junction, with a thickened outer plexiform layer overlying these areas. Fluorescein and indocyanine green angiography did not demonstrate any perfusion defects or any other abnormality. Microperimetry demonstrated focal elevation in threshold correlating with the wedge-shaped defects in both eyes. Conclusion Spectral-domain optical coherence tomography findings provide new evidence of the involvement of the outer plexiform layer of the retina in acute macular neuroretinopathy.
机译：引言本文介绍了急性黄斑神经视网膜病变患者的光谱域光学相干断层扫描结果，以及与微视野检查功能缺陷的相关性。病例介绍一名25岁的白种女人在上呼吸道感染后出现双时相视野缺损。她的两只眼睛的视力均为20/20，眼底扩张检查显示双侧乳头状瘤束色素沉着过度。我们的患者接受了光谱域光学相干断层扫描，红外和眼底自发荧光成像的进一步评估。通过微视野测定法评估功能改变。红外成像显示出典型的楔形缺陷，而光谱域光学相干断层扫描在内部段-外部段连接处显示出变化，在这些区域上覆盖了一个加厚的外部丛状层。荧光素和吲哚菁绿血管造影未显示任何灌注缺陷或任何其他异常。显微视野测定法显示了与两只眼睛的楔形缺损相关的阈值病灶升高。结论光谱域光学相干断层扫描结果为急性黄斑神经视网膜病变涉及视网膜外丛状层提供了新的证据。

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