비녹내장안에서 발견된 시신경유두주위 망막층간분리
Peripapillary Retinoschisis in Non-Glaucomatous Eyes
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
목적: 비녹내장안에서 발견된 시신경유두주위 망막층간분리의 양상에 대해서 알아보고자 한다. 대상과 방법: 녹내장이 없으면서 시신경유두주위 망막층간분리를 보이는 6안을 대상으로 나이, 성별, 굴절값, 안압, 망막층간분리의위치, 동반질환의 유무, 경과를 관찰하였다. 시신경유두 및 황반부의 이상유무를 확인하기 위해 안저사진 및 빛간섭단층촬영으로 얻은시신경유두 및 황반부의 단면영상을 검토하였다. 결과: 대상의 성별은 남성 3명, 여성 3명이었고, 나이는 11세에서 59세(중위값, 45세)였으며, 굴절값은 -6.25디옵터에서 +1.00디옵터였다(중위값, -0.50디옵터). 망막층간분리는 4안에서 시신경유두주위 영역의 위쪽 사분면에서 관찰되었고, 1안에서 코쪽 사분면, 나머지 1안에서는 아래쪽 사분면에서 관찰되었다. 안저사진과 빛간섭단층촬영 단면영상에서 6안 모두 시신경유두주위 망막층간분리 외에시신경유두와 황반에 특별한 이상이 발견되지 않았다. 경과관찰이 가능했던 2안에서 시신경유두주위 망막층간분리가 특별한 치료없이 각각 6개월, 9개월 후에 감소하였다. 결론: 비녹내장안에서 시신경유두주위 망막층간분리를 관찰할 수 있었다. 시신경유두주위 망막층간분리는 동반 이상 없이 다양한 나이, 성별, 굴절값을 가진 눈에 나타났다.
Abstract
Purpose: To investigate the characteristics of non-glaucomatous eyes with peripapillary retinoschisis. Methods: Six non-glaucomatous eyes with peripapillary retinoschisis were enrolled. Age, sex, refractive error, intraocular pressure,location and changes of peripapillary retinoschisis, and the presence of accompanied abnormalities were assessed. To determinepossible abnormalities of the optic nerve head and macula, fundus photographs and cross-sectional images of the opticnerve head and macula obtained by optical coherence tomography were inspected. Results: Three males and 3 females were enrolled. Age of the subjects ranged from 11 to 59 years (median, 45 years). Refractive error ranged from -6.25 to +1.00 diopter (median, -0.50 diopter). Peripapillary retinoschisis was located in the superiorquadrant in four eyes, in the nasal quadrant in one eye, and in the inferior quadrant in one eye, respectively. No additional abnormalitieswere found in fundus photographs or in the cross-sectional images of the optic nerve head and macula that were obtainedby optical coherence tomography. Longitudinal follow-up was available for two eyes and spontaneous resolution of peripapillaryretinoschisis was observed in these eyes 6 and 9 months later, respectively. Conclusions: Peripapillary retinoschisis was observed in non-glaucomatous eyes. This finding was observed in subjects of variousranges of age and refractive error, and in both sexes, without any other accompanying abnormalities.
참고문헌 (22)
- Yu H., "Long-term outcomes of vitrectomy for progressive X-linked retinoschisis", Am J Ophthalmol, 154, pp.394~402.e2 (2012)
- George ND., "Clinical features in affected males with X-linked retinoschisis", Arch Ophthalmol, 114, pp.274~280 (1996)
- Brockhurst RJ., "Photocoagulation in congenital retinoschisis", Arch Ophthalmol, 84, pp.158~165 (1970)
- Hirakata A., "Multilayered retinoschisis associated with optic disc pit", Jpn J Ophthalmol, 49, pp.414~416 (2005)
- Scott IU., "Surgical management of macular retinoschisis associated with high myopia", Arch Ophthalmol, 124, pp.1197~1199 (2006)
- Kahook MY., "Peripapillary schisis in glaucoma patients with narrow angles and increased intraocular pressure", Am J Ophthalmol, 143, pp.697~699 (2007)
- Farjad H., "Peripapillary schisis with serous detachment in advanced glaucoma", Optom Vis Sci, 87, pp.E205~E217 (2010)
- Hubschman JP, "Nasal Retinoschisis Associated with Glaucoma", Ophthalmic Surg Lasers Imaging, 9, pp.1~4 (2010)
- Hwang YH., "Effect of peripapillary retinoschisis on retinal nerve fibre layer thickness measurement in glaucomatous eyes", Br J Ophthalmol, 98, pp.669~674 (2014)
- Lee EJ., "Peripapillary retinoschisis in glaucomatous eyes", PLoS One, 9, pp.e90129~ (2014)
- Hwang YH., "Errors in neuroretinal rim measurement by Cirrus high-definition optical coherence tomography in myopic eyes", Br J Ophthalmol, 96, pp.1386~1390 (2012)
- Shimada N., "Peripapillary changes detected by optical coherence tomography in eyes with high myopia", Ophthalmology, 114, pp.2070~2076 (2007)
- Rutledge BK., "Optical coherence tomography of macular lesions associated with optic nerve head pits", Ophthalmology, 103, pp.1047~1053 (1996)
- 송인석, "Optic Disc Pit with Peripapillary Retinoschisis Presenting as a Localized Retinal Nerve Fiber Layer Defect", Korean Journal of Ophthalmology, 25(6), pp.455~458 (2011), 대한안과학회
- Brown GC., "Congenital pits of the optic nerve head. I. Experimental studies in collie dogs", Arch Ophthalmol, 97, pp.1341~1344 (1979)
- Georgalas I., "Optic disc pit : a review", Graefes Arch Clin Exp Ophthalmol, 249, pp.1113~1122 (2011)
- Sun CB., "Natural evolution from macular retinoschisis to full-thickness macular hole in highly myopic eyes", Eye(Lond), 24, pp.1787~1791 (2010)
- Imamura Y., "High-resolution optical coherence tomography findings in optic pit maculopathy", Retina, 30, pp.1104~1112 (2010)
- Tatham AJ., "Defects of the lamina cribrosa in eyes with localized retinal nerve fiber layer loss", Ophthalmology, 121, pp.110~118 (2014)
- Zhao M., "Macular retinoschisis associated with normal tension glaucoma", Graefes Arch Clin Exp Ophthalmol, 249, pp.1255~1258 (2011)
- Hollander DA., "Macular schisis detachment associated with angle-closure glaucoma", Arch Ophthalmol, 123, pp.270~272 (2005)
- Zumbro DS., "Macular schisis and detachment associated with presumed acquired enlarged optic nerve head cups", Am J Ophthalmol, 144, pp.70~74 (2007)