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NR 4-6/2007
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Rozlany zanik
naczyniówki – opis przypadku
Diffuse atrophy of the
choroid – a case report
Agnieszka Filemonowicz-Skoczek, Agnieszka
Kubicka-Trz±ska, Izabella Karska-Basta, Joanna Kobylarz, Bożena
Romanowska-Dixon
Z Kliniki Okulistyki i Onkologii Okulistycznej Katedry
Okulistyki Collegium Medicum Uniwersytetu Jagiellońskiego w
Krakowie
Kierownik: dr hab. med. Bożena Romanowska-Dixon |
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| Summary: |
Purpose: The authors
present a case of the 66-year-old female patient
suffering from the diffuse atrophy of the choroid.
Material and methods: The 66-year-old woman was referred
to the Ophtalmological Clinic in Krakow with the
diagnosis of choroideremia. The patient developed
central vision problems (mainly in the left eye) and
night blindness. We performed following investigations:
distance and near visual acuity with Snellen charts,
Amsler grid test, the investigation of the anterior and
posterior segments of both eyes, and the fluorescein
angiography as well as the infrared photo of the fundus.
The assessment of ornithine serum level was performed.
Results: The ophthalmological examination revealed: the
distance visual acuity in the RE=0.5, and in the LE=0.25.
The near visual acuity in the RE=0.5, in the LE=0.75.
The Amsler grid test in the RE showed no pathology but
in the LE revealed in the nasal aspect of the central
visual field a relative scotoma. Fundoscopy, fluorescein
angiography and infrared imaging revealed the broad
patch form atrophy of the RPE and choriocapillaris
within the whole fundus and also within the macula. The
serum level of ornithine was within the normal limits.
Conclusions: Based on the results of performed
investigations the definitive diagnosis of a very rare
dystrophy – a diffuse atrophy of the choroid was
established. |
| Słowa kluczowe: |
rozlany zanik naczyniówki,
dystrofia naczyniówki. |
| Key words: |
diffuse choroid atrophy,
choroidal dystrophy. |
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