Vitreomacular Traction Syndrome in Young Adult-A Case Report

年輕人的玻璃體黃斑部牽扯症―病例報告

林惠真(Hui-Chen Lin) ； 鄭成國(Cheng-Kuo Cheng) ； 楊中美(Chung-May Yang) ； 楊長豪(Chang-Hao Yang) ； 盧雪玉(Hsuei-Yuh Lu)

《中華民國眼科醫學會雜誌》 39卷1期 (2000/03) Pp. 39-44

https://doi.org/10.30048/ACTASOS.200003.0007

摘要

玻璃體黃斑部牽扯症係因玻璃體後部的不完全分離且拉扯黃斑部所引起的視力減退。此症在眼底的表現常被做錯誤的解釋，所以誤診的機會是很高的。我們只要對這種疾病存有警覺性，並藉著詳盡的眼底檢查及超音波掃描，通常可有正確的診斷。光學同步斷層掃描圖儀是另一種很有效的診斷工具。
由於玻璃體的液化及分離常是一種老化的現象，故玻璃體黃斑部牽扯症為引起老年人視力模糊或視覺影像扭曲的重要原因之一。本文提出一個罕見的年輕病例。一位二十二歲女性，其因玻璃體黃斑部牽扯症導致視野缺損而到眼科求診。光學同步斷層掃描圖儀上的表現是明確的玻璃體黃斑部牽扯症。病人在七個月的追踪過程中，黃斑部無水腫現象。

並列摘要

The vitreomacular traction syndrome (VTS) is a distinct clinical entity in which partial posterior vitreous detachment (PVD) is present in combination with persistent macular adherence, causing traction-induced visual deficit. Those ocular findings about VTS often are misinterpreted and the diagnosis of vitreomacular traction syndrome often is missed. The alert of the disease combined with careful examination of indirect ophthalmoscopy and the aid of B-scan ultrasonography will achieve the correct diagnosis of the disease. Optical coherence tomography (OCT) is another excellent tool to confirm this syndrome.
Because vitreous liquefaction and posterior vitreous detachment is usually an aging process, VTS is an important cause of loss of vision and distorted vision in aged people, and is rarely seen in young patients. We herein report a 22 year-old female patient with typical ocular findings of VTS. She complained of decreased vision and a relative paracentral scotoma of her right eye. A persistent shinning membrane of incomplete PVD and vitreomacular traction was found in indirect ophthalmoscopy and was confirmed by OCT and B-scan ultrasonography. The condition remained the same during 7-month follow-up.

並列關鍵字

Vitreomacular traction syndrome ； young adult ； optical coherence tomography