Abstract：
Poppers maculopathy is a complication of alkyl nitrate (poppers) inhalation. It presents with non-specific symptoms and variable signs, which can make it difficult to diagnose. We present a case of coexisting cataract and poppers maculopathy in a patient. He had vague visual symptoms that were attributed entirely to his cataract and he went on to have cataract surgery. Suboptimal postoperative visual acuity and normal clinical examination triggered further investigation with spectral-domain optical coherence tomography (SD-OCT), after which poppers maculopathy was diagnosed. We highlight the importance of performing OCT in the preoperative assessment of a cataract patient, especially where the cataract is mild and may not fully account for symptoms. The patient showed complete visual recovery on drug cessation despite ongoing maculopathy on OCT scans.
摘要：
Poppers黄斑病是硝酸烷基酯（poppers）吸入的并发症。它表现为非特异性症状和可变体征，这可能使诊断变得困难。我们介绍了一名患者并发白内障和波普尔黄斑病变的病例。他的视觉症状模糊，完全归因于他的白内障，他继续进行白内障手术。次优的术后视力和正常的临床检查触发了光谱域光学相干断层扫描（SD-OCT）的进一步研究，之后诊断出poppers黄斑病。我们强调了在白内障患者的术前评估中进行OCT的重要性，尤其是白内障是轻度的，可能不能完全解释症状。尽管OCT扫描显示持续黄斑病变，但患者在停药后视力完全恢复。
