目的:报告并记录一例圆锥角膜感染的鱼雷黄斑病变。病例报告:一名健康的16岁男性患者,双眼受圆锥角膜影响,被转介到我们医院的角膜服务机构进行随访。在左眼扩张眼底检查期间,一个椭圆形,界限分明,在颞部近凹区域观察到色素沉着性病变,指向黄斑的中心。对病变进行了多模态成像,并根据临床表现确定鱼雷黄斑病变的诊断。
结论:这是在圆锥角膜患者中描述的首例鱼雷黄斑病变。这种关联可能仅仅是偶然的,或者是影响角膜和视网膜结构的发育异常的结果。
OBJECTIVE: To report and document a case of torpedo maculopathy found in a patient affected by keratoconus.Case report: An healthy 16-year-old male patient, affected by keratoconus in both eyes, was referred to the cornea service of our hospital for a follow-up visit.During the dilated fundus examination of the left eye, an oval, well-demarcated, hypopigmented lesion was observed in the juxtafoveal temporal region, pointing towards the center of the macula. Multimodal imaging of the lesion was performed, and the diagnosis of Torpedo Maculopathy was established based on the clinical picture.
CONCLUSIONS: This is the first case of torpedo maculopathy described in a patient affected by keratoconus. This association may be merely fortuitous or the result of developmental abnormalities affecting both corneal and retinal structures.