妊娠相关的中心性浆液性脉络膜视网膜病变的光学相干眼底扫描结果

作     者：Rezai K.A. Eliott D. 秦雪娇 

作者机构：Kresge Eye Institute Wayne State Univ. Schoo l of Medicine 4717 St. Antoine Detroit MI 48201 United States 

出 版 物：《世界核心医学期刊文摘（眼科学分册）》 (Digest of the World Core Medical Journals:Ophthalmology)

年 卷 期：2005年第1卷第5期

页      面：39-39页

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：视网膜下间隙 视网膜病 浆液性脱离 视网膜色素上皮 右眼视力 眼底镜检查 黄斑部 视网膜下液 乳头周围 

摘      要：Purpose: To report the presence and disappearance of subretinal fibrinous exud ate in pregnancy-induced central serous chorioretinopathy studied with optical coherence tomography (OCT). Methods: Case report. A 32-year-old woman was refe rred for ophthalmoscopic evaluation in her 32nd week of pregnancy, complaining o f reduced vision in her right eye. Results: The funduscopic examination revealed a serous detachment of the macula with subretinal exudative deposits in the rig ht eye and a peripapillary serous detachment in the left eye. OCT sections throu gh the right macula demonstrated serous elevation of the retina and the presence of highly reflective material in the subretinal space. Two weeks after delivery , OCT showed resolution of subretinal fluid and the disappearance of submacular exudate in the right eye. Conclusion: During pregnancy and immediately after del ivery, OCT may provide information reflecting the relationship between the retin a, subretinal space, and retinal pigment epithelium without any known adverse ef fects to the infant. In a patient with pregnancy-associated central serous chor ioretinopathy, a highly reflective material, presumably fibrin, was detected spa nning the subretinal space that was subsequently shown to disappear. This inform ation may help us better understand the pathological retinal changes that may oc cur during pregnancy.