[A case of microvascular anomalies in myopic retinoschisis]

Zhonghua Yan Ke Za Zhi. 2021 Dec 11;57(12):944-945. doi: 10.3760/cma.j.cn112142-20210731-00360.
[Article in Chinese]

Abstract

It is a case found during routine reexamination one year after implantable Collamer lens (ICL) implantation. The patient had no complaints. The naked eye visual acuity of the left eye was 1.0, and abnormal blood vessels were seen in the supranasal retina. After fluorescein fundus angiography and sweep source OCTA, it was finally diagnosed as retinoschisis with microvascular anomalies of the left eye. This case suggests that the fundus of patients with high myopia without complaint should also be examined in detail and comprehensively. In addition to paying attention to peripheral retinopathy, the posterior pole and middle peripheral retina should be carefully examined, especially the areas that cannot be covered by conventional OCT.(Chin J Ophthalmol, 2021, 57: 944-945).

本文报告了一例有晶状体眼人工晶状体植入术后1年常规复查时发现的病例,患者无不适主诉,左眼裸眼视力1.0,鼻上方视网膜可见异常的血管,经过荧光素眼底血管造影和扫频相干光层析血管成像术检查,最终诊断为左眼视网膜劈裂导致血管牵拉和异常扩张。该病例提示对于无主诉的高度近视眼患者也应详细而全面地检查眼底,除了关注周边视网膜病变外,要仔细检查后极及中周部视网膜,特别是常规相干光层析成像术检查不能覆盖的区域。(中华眼科杂志,2021,57:944-945).

Publication types

  • Case Reports

MeSH terms

  • Fluorescein Angiography
  • Humans
  • Lenses, Intraocular*
  • Myopia*
  • Retinoschisis* / diagnostic imaging
  • Visual Acuity