鞭状黄斑病变:结构后遗症和相应的视觉损害,用光学相干断层扫描记录。

Q3 Medicine
Julia Cañas-Martín, Catalina Esmerado, Antonia Sierra, Óscar Segura, Natalia Procházka, Mercè Fossas
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引用次数: 0

摘要

目的:通过一份临床病例报告,探讨鞭状黄斑病变的自然史,强调光学相干断层扫描(OCT)在诊断和理解这种眼部疾病中的作用。方法:一名55岁的女性在迎面相撞后,报告左眼视力下降(VA)。右眼VA为20/20,左眼为20/40。眼底检查显示视网膜色素上皮(RPE)轻微破坏,OCT显示神经感觉脱离(NSD)伴视网膜内囊肿。结果:一周后,OCT显示轻度非结构化RPE,无NSD或囊肿。荧光素血管造影正常,VA改善至20/25。事故发生后10天,视野(VF)检查发现中心暗斑。虽然VA和OCT在两个月后基本恢复正常,但红外成像(IR)显示低反射黄斑区域与VF缺陷相关。8年后,患者在oct上继续表现出持续的中央暗斑和轻微的视网膜外不规则。结论:鞭状黄斑病变是一种间接眼外伤,通常导致暂时的视力损害和中央暗斑。其自然史包括自发改善,变化可能是由玻璃体视网膜牵引力引起的。这个病例强调了与鞭伤相关的长期视网膜变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
WHIPLASH MACULOPATHY: STRUCTURAL SEQUELAE AND THE CORRESPONDING VISUAL IMPAIRMENT, DOCUMENTED WITH OPTICAL COHERENCE TOMOGRAPHY.

Purpose: To explore the natural history of whiplash maculopathy through a clinical case report, emphasizing the role of optical coherence tomography (OCT) in diagnosing and understanding this ocular condition.

Methods: A 55-year-old woman presented to the Emergency Service after a head-on collision, reporting decreased visual acuity (VA) in her left eye. VA was 20/20 in the right eye and 20/40 in the left. Funduscopic examination revealed subtle retinal pigment epithelium (RPE) disruption, and OCT showed neurosensory detachment (NSD) with intraretinal cysts.

Results: One week later, OCT indicated a slightly unstructured RPE, with no NSD or cysts. Fluorescein angiography was normal, and VA improved to 20/25. A central scotoma was noted in visual field (VF) testing 10 days post-accident. Although VA and OCT nearly normalized two months later, infrared imaging (IR) revealed a hypo-reflective macular area correlating with VF defects. Eight years later, the patient continues exhibiting a persistent central scotoma and subtle outer retinal irregularity on OCT.

Conclusions: Whiplash maculopathy, a form of indirect ocular trauma, typically results in temporary visual impairment and central scotoma. Its natural history includes spontaneous improvement, with changes likely arising from vitreoretinal traction forces. This case underscores the long-term retinal changes associated with whiplash injuries.

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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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