Stratus Optical Coherence Tomography for Evaluating Optic Disc Pits Associated with Maculopathy before and after Vitrectomy: Two Case Reports

以光學同調斷層掃描評估視神經盤凹窩合併黃斑部視網膜剝離之術前與術後變化：兩病例報告

邱育德(Yu-Te Chiu) ； 陳幸宜(Hsin-Yi Chen) ； 蔡宜佑(Yi-Yu Tsai) ； 林正明(Jane-Ming Lin) ； 江鈞綺(Chun-Chi Chiang)

《The Kaohsiung Journal of Medical Sciences》 22卷5期 (2006/05) Pp. 229-234

摘要

視神經盤凹窩可分為先天性與後天性：先天性視神經盤凹窩的患者，一般是單側眼且視力、視野多為正常，其中，百分之二十五至七十五的病患會合併黃斑部視網膜剝離，此時，視力與視野才會受影響。而後天性視神經盤凹窩一般與青光眼的惡化有關。先天性視神經盤凹窩合併黃斑部視網膜剝離的原因未明，目前仍存在許多學說在探討其可能的成因。作者提出兩位先天性視神經盤凹窩合併黃斑部視網膜剝離的患者，利用光學同調斷層掃描來觀察其手術前後視網膜的變化，同時探討黃斑部視網膜剝離可能的原因。

關鍵字

視神經盤凹窩 ； 黃斑部視網膜剝離 ； 光學同調斷層掃描

並列摘要

Optic disc pit (ODP) can be either congenital or acquired. Congenital ODP is typically unilateral, and the visual acuity and visual field are normal unless associated with macular serous detachment, which occurs in about 25-75% of cases. Acquired ODP is known as an important risk factor for progressive visual field loss in glaucoma. The fundus finding of congenital ODP includes oval depression involving the optic disc, with or without macular serous detachment. We used third-generation Stratus optical coherence tomography (Straus OCT) to investigate the possible pathogenesis of ODP associated with maculopathy and to monitor the anatomic changes before and after treatment.

並列關鍵字

optic disc pit ； macular serous detachment ； Stratus optical coherence tomography