目的:敘述一例病態性近視眼中葡萄腫裡可見之眼球後血管 方法:觀察性病例報告 個案報告:71歲雙眼偽晶體且患有病態性近視的女性因主訴右眼模糊前來就醫。經眼底檢查發現,除了雙眼後極有廣泛的視網膜及脈絡膜的退化之外,患者右眼後葡萄腫裡可以直接看見眼窩的血管。 討論:高度近視眼睛的視網膜及脈絡膜退化是一個常見的變化。除了視網膜及脈絡膜變薄之外,病態性近視病人的鞏膜彈性和微結構皆有所改變。在此病患中,眼球後的血管可以直接單獨經由間接眼底鏡的檢查而觀察到,不必透過眼底螢光或循血綠血管攝影的協助。
Purpose: To describe a phenomenon in which retrobulbar blood vessels were seen through a posterior staphyloma in a pathologically myopic eye. Method: Observational case report. Case Report: 71 year-old pathologically myopic female with pseudophakia (OU) presented to our clinic with a complaint of blurred vision (OD). Aside from a diffuse chorioretinal atrophy of the posterior poles in both eyes, direct visualization of the orbital vessels was made through a posterior staphyloma in the right eye. Discussion: Chorioretinal degeneration is commonly found in patients with high myopia. In addition to the thinning of the retina and the choroid, the elasticity and the microstructure of the sclera are also altered in patients with pathologic myopia. In this patient, ready visibility of the retrobulbar blood vessels was made by performing ophthalmoscopy alone, without the aid of either fluorescein or indocyanine green angiography.