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Ungewöhnliche myope Fundusveränderung

Unusual myopic fundus alteration

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Zusammenfassung

Eine 44-jährige Patientin berichtete über seit 4 Tagen bestehende „schwarze Punkte“ vor dem rechten Auge, die sich beim umherblicken mitbewegten. In den OCT-Aufnahmen der rechten Makula zeigten sich innerehalb des retinalen Pigmentepithels (RPE) parafovoelär größere zystische Hohlräume und Verdichtungen sowie kleinlumigere zystische Veränderungen, die den Verdacht auf ein Geschehen im Bereich der Aderhaut lenkten. Die hiernach durchgeführte Fluoreszeinangiographie und eine zusätzliche Indozyaningrünangiographie schlossen eine CNV (chorioretinale Neovaskularisation) aus. Die Diagnose ergab ein breites oberflächliches Aderhautgefäß, imponierend als eine subretinale Blutung ein.

Abstract

A 44-year-old female patient reported a “black dot” which had been in front of the right eye for more than 4 days and which moved together with eye movements. The optical coherence tomography (OCT) image of the right macula showed large cystic cavities and thickening within the retinal pigment epithelium (RPE) near the fovea centralis as well as small bore cystic alterations, which indicated an event in the region of the choroid. Fluorescein angiography and indocyanine green angiography excluded choroidal neovascularization (CNV). The diagnosis revealed a broad superficial choroidal blood vessel mimicking a subretinal hemorrhage.

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Literatur

  1. Kempen JH, Mitchell P, Lee KE, Tielsch JM et al (2004) The prevalence of refractive errors among adults in the United States, Western Europe, and Australia. Arch Ophthalmol 122(4):495–505. Erratum in: (2005) Arch Ophthalmol 123(10):1314

    Google Scholar 

  2. Attebo K, Ivers RQ, Mitchell P (1999) Refractive errors in an older population-the blue mountains eye study. Ophthalmology 106(6):1066–1072

    Article  PubMed  CAS  Google Scholar 

  3. Saw SM, Gazzard G, Shih-Yen EC, Chua WH (2005) Myopia and associated pathological complications. Ophthalmic Physiol Opt 25(5):381–391

    Article  PubMed  Google Scholar 

  4. Tano J (2002) Pathologic myopia: where are we now? Am J Ophthalmol 134(5):645–660

    Article  PubMed  Google Scholar 

  5. Curtin BJ (1977) The posterior staphyloma of pathologic myopia. Trans Am Ophthalmol Soc 75:67–86

    PubMed  CAS  Google Scholar 

  6. Ikuno Y, Sayanagi K, Soga K et al (2008) Lacquer crack formation and choroidal neovascularization in pathologic myopia. Retina 28(8):1124–1131

    Article  PubMed  Google Scholar 

  7. Curtin BJ, Karlin DB (1971) Axial length measurements and fundus changes of the myopic eye. Am J Ophthalmol 71:42–53

    Google Scholar 

  8. Chan WM, Ohji M, Lai TY et al (2005) Choroidal neovascularisation in pathological myopia: An update in management. Br J Ophthalmol 89(11):1522–1528

    Article  PubMed  Google Scholar 

  9. Yoshida T, Ohno-Matsui K, Yasuzumi K et al (2003) Myopic Choroidal Neovascularization-A 10-year Follow-up. Ophthalmology 110:1297–1305

    Article  PubMed  Google Scholar 

  10. Ohno-Matsui K, Yoshida T, Futagami S et al (2003) Patchy atrophy and lacquer cracks predispose to the development of choroidal neovascularisation in pathological myopia. Br J Ophthalmol 87(5):570–573

    Article  PubMed  CAS  Google Scholar 

  11. Watzke RC, Packer AJ, Folk JC et al (1984) Punctateinner choroidopathy. Am J Ophthalmol 98(5):572–584

    PubMed  CAS  Google Scholar 

  12. Brown J Jr, Reddy CV, Kimura AE et al (1996) Long term visual prognosis of multifocal choroiditis, punctate inner choroidopathy and diffuse subretinal fi brosis syndrome. Ophthalmology 103:1100–1105

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Universitätsaugenklinik Halle/Wittenberg, Erst-Grube-Straße 40, 06120, Halle, Deutschland

    C. Münzenberg, G.I.W. Duncker & S. Sel

  2. Institut für Anatomie und Zellbiologie, Universität Halle/Wittenberg, Halle, Deutschland

    F. Paulsen

  3. Institut für Pathologie, Universität Magdeburg, Magdeburg, Deutschland

    T. Kalinski

  4. Universitätsaugenklinik Poznan, Poznan, Polen

    A. Dmitriew

Authors
  1. C. Münzenberg
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  2. F. Paulsen
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  3. T. Kalinski
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  4. A. Dmitriew
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  5. G.I.W. Duncker
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  6. S. Sel
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Correspondence to C. Münzenberg.

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Münzenberg, C., Paulsen, F., Kalinski, T. et al. Ungewöhnliche myope Fundusveränderung. Ophthalmologe 106, 628–631 (2009). https://doi.org/10.1007/s00347-009-1930-4

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  • DOI: https://doi.org/10.1007/s00347-009-1930-4

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