本篇報告一位32歲男性病患,主訴右眼視力喪失。經病史的詢問及眼部之詳細檢查,病患有中度之近視,曾患雙眼視網膜剝離;並有玻璃體液化;玻璃體腔及玻璃體膜之形成;網膜血管旁之色素血等。其特徵完全符合Wagner's氏症候群之診斷要件。
Wagner's syndrome characterized by an optically empty vitreous cavity that is pervaded by a few vitreous fiber or membranes; narrow and sheath retinals vessels; pigment spots in the peripheral fundus or along the retinal vessels; atrophy of the choroid; complicated cataract; myopia, and in the advanced stage, optic atrophy. The disease is transmitted as an outosomal dominant trait. We found one patient with Wagner's sydrome who had history of bilateral retinal detachment and received surgery then. He came to our OPD due to sudden onset of loss of vision in the right eye and complicated cataract with posterior synechiae was found. Vitreous liquefaction and fibrous condensation formed a newly vitreous membranes and optical empty in the left eye. Chump of pigment along the retinal vessels and latticelike retinal degeneration were also noted in the left eye. The ocular manifestion was comparable with those of typical Wagner's syndrome.