医学
眼科
眼底(子宫)
视网膜
视网膜
内界膜
眼底摄影
黄斑病
阿尔波特综合征
视网膜病变
解剖
验光服务
黄斑裂孔
视力
光学
荧光血管造影
玻璃体切除术
内科学
糖尿病
肾小球肾炎
内分泌学
物理
肾
作者
Chiara Zaffalon,F. Romano,Anna Salvetti
出处
期刊:Ophthalmology
[Elsevier]
日期:2023-05-01
卷期号:130 (5): 515-515
标识
DOI:10.1016/j.ophtha.2022.07.005
摘要
The authors examined a 48-year-old White man with genetically confirmed diagnosis of X-linked Alport syndrome. His vision was 20/25 Snellen in both eyes, while anterior segment examination revealed bilateral anterior lenticonus (A). High-resolution swept-source anterior segment OCT (Anterion, Heidelberg Engineering) showed anterior bulging of the lens in greater detail (B). Fundus photography documented peri-macular dot-and-fleck retinopathy giving rise to the typical “lozenge-sign” (C, Eidon, Centervue) caused by the hyperreflectivity and thickening of the internal limiting membrane. Widefield OCT revealed macular temporal thinning and irregular depletion of inner retinal layers with preservation of outer retina, which is known as “staircase-foveopathy” (D) (Magnified version of Fig A-D is available online at www.aaojournal.org).
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