中华妇产科杂志
2024年 · 第60卷第10期
中华妇产科杂志
This issue focuses on the research progress of presbyopia correction. The responsible editorial committee responsible for the planning, composition and review of this issue is Professor Zou Haidong.
The patient was a 36-year-old female. Because of the fixed shadow in the front of the left eye for 1 d, he went to Shenzhen Eye Hospital. At 3 months of pregnancy, there were no abnormalities in the general physical examination. Eye examination: the corrected visual acuity of both eyes was 1.0; IOP was 12.3 mmHg (1 mmHg =0.133 kPa) in the right eye and 14.7 mmHg in the left eye; No abnormalities were observed in the anterior segment of both eyes and the fundus of the right eye; Gray-white flaky edema was seen on the nasal side of the macular area of the left eye (A in essence picture 1), and the infrared fundus image showed weak reflection at the lesion (B in essence picture 1). optical coherence tomography (OCT) examination: The retinal nucleus layer at the nasal lesion in the macular area of the left eye showed a strong reflective band (C in Quintessential Picture 1). Clinical diagnosis: Acute paramacular central-medial retinopathy of the left eye. After 2 months of reexamination after medical treatment, the patient felt that the symptoms of his left eye were relieved, and most of the gray-white flaky lesions on the nasal side of the fundus macular area were absorbed (A in essence picture 2). The infrared fundus image showed a small flaky weak reflex area beside the macular fovea (B in essence picture 2). OCT examination showed that the strong reflex band in the inner nucleus of the nasal retina in the macular area was weaker than that before treatment (C in Quintessential Picture 2). After 9 months of reexamination after medical treatment, the patient felt that the symptoms of his left eye were significantly improved, the corrected visual acuity was 1.0, the gray-white flaky lesions on the nasal side of the macular area of the fundus were basically absorbed (A in essence picture 3), and the infrared fundus image showed that the weak reflex area on the nasal side of the macular area resolved (B in essence picture 3). OCT examination showed that the strong reflex band in the inner nucleus layer of the nasal retina in the macular area resolved, and atrophy and thinning (C in Quintessential Picture 3).
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