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先天性視網膜動靜脈交連－兩例報告
Congenital Arteriovenous Communications of the Retina-Two Cases Report
摘要
本文報告二例先天性視網膜動靜脈交連的病例。分別追踪7個月及4年6個月之久。依視網膜血管變化的型態，均屬於Archer分類之第二類型。病例一經過4年6個月的追踪，視力及視野均沒有異常或缺損。病例二，病變的一眼，其視力受損，且視野缺損的情況與視網膜之異常血管之走向沒有吻合，進而由超音波檢查，腦斷層攝影，及腦血管攝影檢查，發現同側之眼球後及顱內有畸形血管變化，謂之Wyburn-Mason症候羣。經過7個月的追踪檢查，除了視力、視野，及瞳孔對光反應異常外，並沒有其他神經學上的異常變化。此種病例（先天性視網膜動靜脈交連第二類型伴有Wyburn-Mason症候羣）在文獻上很少見。
關鍵字
無資料並列摘要
Two cases of Congenital A-V Communications of the Retina were followed from seven months to four years. Fluorescein angiography, ultrasound of eye, C-T scan and carotid angiography were used to elucidate the structural abnomalities in these cases. As Archer previously reported, three groups can be classified according to the nature and extent of the A-V communications. Our two cases can be classified into Group Ⅱ. In Case Ⅱ, according to the features of C-T scan and Carotid Angiography, Wyburn-Mason Syndrome was diagnosed. Only rare cases were reported in literatures. This is the first report (G-Ⅱ A-V communication Wyburn-Mason Syndrome) in Taiwan.