Atlas of Ophthalmology

Diagnosis:	POAG视乳头周围两个视网膜劈裂空腔 (OCT)
Comment to photo:	我们举出一视乳头周围视网膜劈裂，两个空腔分别位于不同视网膜层的病例。有涉及数个视网膜层的视网膜劈裂证据，并无可辨识的视神经小凹证据。女病患67岁，已有9年青光眼病史，就诊时左右眼 IOP 皆为21，属于开角型青光眼。验光结果：右眼 +0.75D 左眼+0.25D。综合显示OCT彩色图像。彩色图像显示，4点位有局部神经纤维缺陷。 OCT呈现了两个独立的视乳头周围视网膜劈裂腔，分别位在两个不同的视网膜层，无明显的玻璃体后脱离或视神经小凹。视网膜劈裂空腔均在颞下侧，局部神经纤维损失。光谱光学相干断层扫描（SpectralisOCT，HE，海德堡，德国）显示位在视网膜不同层的两个劈裂腔：空腔＃1位在高反射外丛状层（OPL）和低反射外核层（ONL）之间，空腔＃2在高反射视网膜神经纤维层（NFL）内。
Author(s):	Michelson, Georg, Prof. Dr. med., Interdisciplinary Center of Ophthalmic Preventive Medicine and Imaging, Department of Ophthalmology, Friedrich-Alexander-University, Erlangen, Germany
ICD10-Code:	H331.1
Path:	青光眼 -> Peripapillary Retinoschisis with Two Isolated Cavities in POAG (Colour, Visual Field, OCT)
Additional keywords:	Splicing retina, 2 cavities
Image ID:	9192

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POAG视乳头周围两个视网膜劈裂空腔 (OCT)