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色素性視網膜炎之臨床觀察
Clinical Observation of Retinitis Pigmentosa
摘要
本文報告以夜盲、眼底色素性變化、視野狹窄等三項特徵診斷為色素性視網膜炎之26例患者，這些病人平均年齡為46.4歲，只有23%具有家族史，夜盲發病在各年齡層中以11至20歲之29%佔最多。所有52眼中，最佳矯正視力0.5以上者僅有31%，而屈光狀態：球面屈光度平均為-0.24D，散光度數平均為1.44D，”with-the-rule”散光佔多數。後囊下白內障及白內障術後者高達73%，眼底色素變化幾乎都以Bone-spicule pigmentation表現，視神經盤萎縮佔25%，而65.4%有黃斑部病變。
關鍵字
無資料並列摘要
We reported 26 patients of retinitis pigmentosa with night blindness, fundus pigmentory change and visual field constriction. Of these Patients, mena age was 46.4 years and 23% had Positive family history. Onset of night blindness in second decade was 29% which was most in all age groups. Of 52 eyes, only 31% had a best corrected visual acuity of 0.5 or more. Refractive status included a spherical mean of -0.24D, a cylindrical mean of 1.44D and more ”with-the-rule” astigmatism. Posterior subcapsular cataract and eyes with cataract operations were found up to 73%. Bone-spicule pigmentations were predominantly in fundus pigmentary changes. Optic disc atrophies were found in 25% of cases while 65.4% had maculopathies.
延伸閱讀
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