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EN FACE OPTICAL COHERENCE TOMOGRAPHY OF MULTIPLE EVANESCENT WHITE DOT SYNDROME

机译:en Face光学相干性断层扫描的多发性白细胞综合征

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Purpose: To report novel en face imaging findings of multiple evanescent white dot syndrome. Methods: A 25-year-old woman presented with photopsia and vision loss affecting the left eye. Ophthalmic examination, color fundus photography, fluorescein angiography, spectral domain optical coherence tomography (SD-OCT), fundus autofluorescence, en face OCT, and OCT angiography were performed. Results: The diagnosis of multiple evanescent white dot syndrome was made based on clinical examination and multimodal imaging findings. Fundus autofluorescence demonstrated numerous hyperautofluorescent spots that corresponded to multifocal areas of ellipsoid loss with SD-OCT. En face OCT illustrated multiple small round hyperreflective "dots" at the level of the outer nuclear layer that precisely colocalized over numerous hyporeflective "spots" at the level of the ellipsoid zone. Optical coherence tomography angiography demonstrated normal flow within the superficial and deep retinal capillary plexus and the choroid in the left eye. Conclusion: We report the unique en face OCT pattern of hyperreflective dots (at the level of the outer nuclear layer) that precisely colocalized over larger hyporeflective spots (at the level of the ellipsoid zone) in multiple evanescent white dot syndrome. This finding may provide a signature pattern of recognition for this elusive disorder.
机译:目的:报告多种渐逝白点综合征的新型en脸部成像发现。方法:一名25岁女性患有照相和视力损失影响左眼。进行眼科检查,彩色眼底拍摄,荧光素血管造影,光谱域光学相干断层扫描(SD-OCT),眼底自发荧光,ZEN OCT和OCT血管造影。结果:基于临床检查和多式联算成像结果进行了多次渐逝白点综合征的诊断。眼底自发荧光显示了许多高致荧光斑点,与SD-OCT的椭圆损失多焦点相对应。 en Face OCT在外核层的水平下说明了多个小圆形过度反射性“点”,在椭球区的水平上精确地聚在众多的低温“斑点”上。光学相干断层造影血管造影在浅表和深视网膜毛细经膜丛内和左眼中的脉络膜内显示出正常流动。结论:我们报告了在多个渐逝白点综合征中的较大低度斑点(在外核层水平上)的独特en脸上的超级选择性点(在外核层水平上)。这一发现可以为这种难以捉摸的疾病提供签名的识别模式。

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