Macular star associated with posterior hyaloid detachment.

J. Akura, T. Ikeda, K. Sato, N. Ikeda
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引用次数: 2

Abstract

PURPOSE To report a patient with a Leber's idiopathic stellate neuroretinitis-like lesion that was caused by vitreous traction accompanying a posterior hyaloid detachment. METHODS We present a 49-year-old woman who showed segmental optic disc edema, peripapillary retinal detachment, and a macular star. RESULTS An incomplete posterior hyaloid detachment was present, and the posterior hyaloid membrane was attached to the nasal margin of the optic disc. Fluorescein angiography revealed a bent retinal artery on the upper margin of the optic disc, and leakage of fluorescein was observed from this area. CONCLUSION Vascular damage to the optic disc due to vitreous traction should also be considered as a mechanism for the ophthalmoscopic appearance of the fundus when lesions suggestive of Leber's idiopathic stellate neuroretinitis are present in an adult.
黄斑星型伴后玻璃体脱离。
目的报告一例由玻璃体牵引合并后玻璃体脱离引起的Leber氏特发性星状神经视网膜炎样病变。方法我们报告了一位49岁的女性,她表现为视盘节段性水肿,乳头周围视网膜脱离和黄斑星。结果后玻璃体不完全脱离,后玻璃体膜附着于视盘鼻缘。荧光素血管造影显示视盘上缘有一条弯曲的视网膜动脉,并在该区域观察到荧光素渗漏。结论当成人出现Leber氏特发性星状神经视网膜炎时,玻璃体牵拉引起的视盘血管损伤也应被视为眼底外观的一个机制。
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