Objective
To detect the clinical characters and the classification of the congenital retinal vascular anomalies.
Methods
Nine cases (12 eyes) of congenital retinal vascular anomalies were examined by ocular examination and fundus fluorescein angiography (FFA), in which 3 cases (4 eyes) were examined by indocyanine green angiography (ICGA) simultaneously.
Results
The congenital retinal vascular anomalies were located at the posterior pole in 8 cases (10 eyes), and extended to peripheral retina in 1 case (2 eyes). Congenital retinal vascular anomalies were classified as follows: congenital retinal macrovessel (1 case, 1 eye); congenital retinal arteriolar tortuosity (2 cases, 3 eyes); inherited retinal venous beading (1 case, 2 eyes); and congenital prepapillary vascular loops (5 cases, 6 eyes). Four cases (5 eyes) were associated with spontaneous hemor rhage induced by physical exertion (Valsalva maneuver).
Conclusion
Most of the congenital retinal anomalies are located at the posterior pole, involving arteries and veins, and can be associated with spontaneous hemorrhage induced by Valsalva maneuver.
(Chin J Ocul Fundus Dis，2003，19：269-332)
ObjectiveTo observe the characteristics of images of optic coherence tomography (OCT) for the macular region of congenital retinoschisis and investigate its significance.MethodsThe data of OCT of 11 patients (20 eyes) with congenital macular retinoschisis diagnosed by direct or preplacedmirror ophthalmoscopy, fundus fluorescein angiography (FFA), and electroretinography (ERG) were retrospectively analyzed.ResultsThe images of OCT showed split in the mid portion of sensory retina at the macula in all eyes. The retina of fovea centralis was divided by the split into two slightly thickening layers. In addition, in a few number of cases, the parafoveal sensory retina which became much thickening with 2 splits, was divided into 3 layers.ConclusionThe characteristic of images of OCT in macular congenital retinoschisis is the split cavity at the middle layer of the retina, and OCT has a high sensitivity in the diagnosis of congenital retinoschisis. (Chin J Ocul Fundus Dis, 2005,21:93-96)
Objective
To investigate the characteristic of OCT images of congenital macular coloboma and its utility in the diagnosis of the diseases. Methods
Seven patients (9 eyes) with congenital macular coloboma who had been examined by visual acuity determination, slit lamp examination, ophthalmoscope and fluorescein angiography received OCT scan and fundus color photography. The results were retrospectively analyzed.
Results
The manifestation of congenital macular coloboma by OCT was the retinal and choroidal tissues focally pitted outwards along with sclera. The 3 dimensions of pit: horizontal diameter 668 - 4 339mu;m (3 119 in average), vertical length 668 - 4 531 mu;m (2 591 in average), pits depth 230 - 2 146mu;m(1 084 in average).The retinal neurosensory layer became thin and defect. And the retinal neurosensory layer was thinner in the centre than that near the edge. Reflection of retinal pigment epithelium was uneven and discontinued. The dark area of choroid was enlarged.
Conclusions
It can be clearly shown by OCT that abnormal structure of retina and out layer of choroid in congenital macular coloboma. It is implied that the characteristic of OCT is helpful in the diagnosis of congenital macular coloboma.
(Chin J Ocul Fundus Dis, 2005,21:97-99)
