Macular Morphological Changes in Familial Exudative Vitreoretinopathy with Macular Traction on OCT.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI:10.1159/000545011

Asaki Hirai, Yota Kikuchi, Yuki Ohara, Toshihiko Ohta, Shintaro Nakao

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引用次数: 0

Abstract

Introduction: We aimed to report macular morphological changes observed on optical coherence tomography (OCT) in a child with familial exudative vitreoretinopathy (FEVR), experiencing macular traction caused by fibrovascular tissue (FT), who underwent vitrectomy.

Case presentation: A 7-year-old girl presented with the chief complaint of decreased visual acuity in the left eye during a school examination. Fundus examination revealed retinal folds with FT extending from the peripheral retina to the posterior pole of the left eye. Despite interventions such as retinal photocoagulation and encircling buckling aimed at reducing the traction on the macula, OCT revealed persistent deep retinal folds and a thickened outer nuclear layer (ONL), indicating gradually increasing macular traction, which contributed to vision loss. A subsequent vitrectomy alleviated the macular traction, enhanced the retinal morphology, and reduced ONL thickening regardless of persistent ectopic inner foveal layers.

Conclusions: Macular morphological changes before and after vitrectomy in a pediatric case of FEVR can be observed using OCT. Vitrectomy with FT removal may be effective in partially improving macular morphology in FEVR with macular traction.

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家族性渗出性玻璃体视网膜病变伴黄斑牵引的黄斑形态改变。

简介：我们的目的是报道一名患有家族性渗出性玻璃体视网膜病变（FEVR）的儿童在光学相干断层扫描（OCT）上观察到的黄斑形态变化，该儿童患有纤维血管组织（FT）引起的黄斑牵引，接受了玻璃体切除术。病例介绍：一名七岁女孩在学校考试时以左眼视力下降为主诉。眼底检查显示视网膜褶皱伴FT从周围视网膜延伸至左眼后极。尽管采取了诸如视网膜光凝和环扣等旨在减少对黄斑牵引力的干预措施，但OCT显示持续的深视网膜褶皱和增厚的外核层（ONL），表明黄斑牵引力逐渐增加，导致视力下降。随后的玻璃体切除术减轻了黄斑牵引力，增强了视网膜形态，并减少了ONL增厚，而不考虑持续异位的内中央凹层。结论：应用oct可以观察到小儿feevr患者玻璃体切除前后黄斑形态的变化，玻璃体切除联合FT切除可部分改善黄斑牵引的feevr患者黄斑形态。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.