■介绍患有Sturge-Weber综合征(SWS)的双侧脉络膜血管瘤的患者,并重点介绍多模态成像技术,以早期发现和管理眼部改变。
■一名37岁的女性被诊断患有SWS。该患者已接受脉冲染料激光治疗双侧黄斑痣,并患有右软脑膜血管瘤病。她得了青光眼,但是超声生物显微镜没有显示前房或睫状体改变。
■增强深度成像(EDI)谱域光学相干断层扫描(SD-OCT)显示双眼双侧弥漫性脉络膜血管瘤,脉络膜厚度超过1000μm。B超检查显示双眼弥漫性脉络膜血管瘤,右眼和左眼脉络膜厚度为1.53毫米和1.94毫米(RE,LE),分别。乳头周围视网膜神经纤维评估显示双眼的视网膜神经纤维层变薄。
■本报告重点介绍了用于对SWS患者进行严格评估的多模态成像技术,尤其是在罕见的双侧脉络膜血管瘤的病例中。新的成像方式可以优化管理和随访罕见的情况,我们的案例为现有文献增加了进一步的证据。
OBJECTIVE: To present a patient with bilateral choroidal hemangioma in Sturge-Weber syndrome (SWS) and highlight multimodal imaging techniques for early detection and management of ocular alterations.
METHODS: A 37-year-old woman with diagnosis of SWS presented to our unit. The patient had been treated with pulsed dye laser for bilateral nevus flammeus and had right leptomeningeal angiomatosis. She had glaucoma, but ultrasound biomicroscopy did not show anterior chamber or ciliary body alterations.
RESULTS: Enhanced depth imaging (EDI) spectral domain optical coherence tomography (SD-OCT) showed bilateral diffuse choroidal hemangiomas in both eyes with choroidal thickness above 1000 μm. B-scan ultrasound examination showed diffuse choroidal hemangioma in both eyes, with a choroidal thickness of 1.53 mm and 1.94 mm in the right and left eye (RE, LE), respectively. Peripapillary retinal nerve fiber evaluation showed thinning of the retinal nerve fiber layer in both eyes.
CONCLUSIONS: This report highlights multimodal imaging techniques for the critical assessment of patients with SWS, especially in rare cases with bilateral choroidal hemangioma of the choroid. Novel imaging modalities enable optimal management and follow-up of rare conditions, and our
case adds further evidence to the existing literature.