PDF(Pubmed)
Abstract：
A healthy 4-year-old boy referred for evaluation of an abnormal red reflex in the left eye was noted, on fundus examination, to have extensive white, striated lesions surrounding the optic nerve that involved the superior and inferior macular arcades. On further examination, he was found to have ipsilateral high myopia and amblyopia. The triad of unilateral myelinated retinal nerve fibers, myopia, and amblyopia led to a diagnosis of Straatsma syndrome, which requires early treatment to prevent permanent vision loss. Treatment comprised a contact lens for refractive correction of the left eye, patching of the right eye, and full-time polycarbonate protective lenses. With 2 years\' follow-up, the left eye failed to improve appreciably.
摘要：
注意到一名健康的4岁男孩被转诊以评估左眼的异常红色反射，眼底检查，有大量的白色，视神经周围的横纹病变，累及上下黄斑拱廊。在进一步检查中，他被发现患有同侧高度近视和弱视。单侧有髓视网膜神经纤维三联征，近视,弱视导致Straatsma综合征的诊断，这需要早期治疗以防止永久性视力丧失。治疗包括用于左眼屈光矫正的隐形眼镜，右眼的修补,和全时聚碳酸酯保护镜片。经过2年的随访，左眼没有明显改善。
