急性特发性生理盲点扩大归纳征一例.pdf

Hans Journal of Ophthalmology 眼科学, 2016, 5(1), 10-17 Published Online March 2016 in Hans. /journal/hjo /10.12677/hjo.2016.51003 A Case Report of Acute Idiopathic Blind Spot Enlargement Syndrome Yuzhang Hu, Hua Liu, Jiasong Yang, Bo Zhou, Bohua Mu Cheng Du Aidi Eye Hospital, Chengdu Sichuan nd th th Received: Mar. 2 2016; accepted: Mar. 24 , 2016; published: Mar. 28 , 2016 Copyright © 2016 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract A 69-year-old male patient complained of a sudden visual loss and reading difficulties, combined with photopsia for 6 days, worse 1 day. Diabetes or hypertension was negative. The visual acuity of right eye was hand motion. The papillary of right eye was pale and the vessels of fundus were attenuated. The visual acuity of left eye was 0.04, and the best corrected visual acuity was 0.25. The myopic fundus was seen, RAPD (+), color anomaly, ERG and mfERG abnormalities were found. The OCT revealed the abnormalities of the IS/OS line and external limiting membrane in both eyes. Visual field detected blind spot extension in left eye. FFA showed minimal abnormalities. 4 months later, the visual acuity of left eye was improved to 0.2, and the best corrected visual acuity was 0.5. Various symptoms improved, and reading difficulties were gone. RAPD (−), color vision was still abnormal. The diagnosis of the patient is acute idiopathic blind spot enlargement syndrome (AIBSE). AIBSE is a rare outer retinopathy. Keywords Blind Spot Enlargement, Outer Retinopathy, Photopsia 急性特发性生理盲点扩大综合征一例 胡玉章，刘 华，杨嘉嵩，周 波，母伯华 成都爱迪眼科医院，四川 成都 收稿日期：2016年3月2 日；录用日期：2016年3月2