急性渗出性多形性卵黄样黄斑病变1例

A case of acute exudative polymorphous vitelliform maculopathy

患者男性,35岁,因自觉双眼视物模糊2周就诊。双眼视力0.8,眼底检查可见双眼后极部多发黄白色斑点状病灶;相干光层析成像术检查结果显示黄斑区神经上皮层间多囊样积液及神经上皮层下积液,椭圆体带增厚、反射增强;眼底自发荧光显示病变部位为高自发荧光;荧光素眼底血管造影结果未见病变区域荧光素渗漏。结合病史、眼部多模式检查及全身检查情况,诊断为急性渗出性多形性卵黄样黄斑病变。患者未给予特殊治疗,1周后复查病灶部分有融合、扩大,黄斑区水肿情况较前加重。

A 35-year-old male patient presented to the hospital with binocular blurred vision for 2 weeks.The visual acuity of both eyes was 0.8.Fundus examination showed multiple yellow-white punctate lesions in the posterior pole of both eyes.OCT showed cystoid edema and submacular edema,thickening of ellipsoid zone and enhancement of reflex in macular region.Fundus autofluorescence showed strong autofluorescence at the lesion site.Fundus fluorescein angiography showed no fluorescence leakage in the lesion area.The patient was diagnosed with acute exudative polymorphous vitelliform maculopathy based on medical history,ocular multimodal examination and general examination.The patient was not given special treatment,but one week later,the lesion was fused and expanded,and the macular edema was worse than before.