2025年 · 第61卷第05期

Surgeon introduction Tian Bei, MD, chief physician, professor, doctoral supervisor. National health science expert, corresponding editorial board member of Chinese Journal of Ophthalmology, standing committee member of Chinese Sports Rehabilitation Education College of Chinese Medical Association, member of Sports Medicine Branch of Chinese Medical Association, member of Optometry Group of Ophthalmologist Branch of Chinese Medical Doctors Association, standing committee member of Diabetes Professional Committee of Chinese Geriatric Health Care Association, member of Ophthalmology Professional Committee of Chinese Medical Equipment Association, member of Diabetes Ophthalmology Group of Diabetes Professional Committee of Chinese Research Hospital Association, vice chairman of the 13th Central Health and Wellness Committee of China Democratic League, honorary researcher of Royal Murphy Eye Hospital, UK, and member of British and Irish Vitreoretinal Surgery Association. He has been engaged in frontline clinical work of ophthalmology in Beijing Tongren Ophthalmology Center, Beijing Tongren Hospital affiliated to Capital Medical University for 28 years. He is good at vitrectomy, phacoemulsification and cataract aspiration, fundus laser surgery, etc. So far, he has more than 10,000 surgical experiences.

The patient was a 50-year-old male. Because of blurred vision in both eyes for 1 month, he went to the Department of Ophthalmology of Qingdao Municipal Hospital. Eye examination: the visual acuity of both eyes was 0.8, and the corrected visual acuity did not improve; No abnormalities were observed in the anterior segment of both eyes; Scattered and distributed yellow-white lesions of varying size, uniform texture and rounded shape can be seen around the vascular arch under the fundus of both eyes (A and B in Essence Picture 1); Coherence optical tomography angiography (en face blood flow diagram without vascular layer) examination: A large number of round-like nodular lesions with bright hyperreflective centers and dark edges were seen in the peripheral retina of both eyes (C and D in Quintessential Picture 1); Coherence light tomography examination: Multiple dome-shaped bulges of different sizes were seen under the pigment epithelial layer of the retinas around both eyes, with strong reflection of homogeneous signals inside and absence of photoreceptors on their surfaces (E and F in Quintessential Picture 1). Clinical diagnosis: soft drusen in both eyes.