Document Detail


Outer retinal microstructure in a case of acute idiopathic blind spot enlargement syndrome.
MedLine Citation:
PMID:  21503168     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To present a patient with acute idiopathic blind spot enlargement syndrome who had abnormal changes in the outer retinal microstructure limited to areas with reduced responses on multifocal electroretinograms as well as to the area involving a scotoma.
METHODS AND RESULTS: We report the case of a 44-year-old man who developed an arcuate scotoma which was associated with a physiological blind spot in the left eye. The ophthalmoscopic, fluorescein angiographic, and full-field electroretinogram findings were normal. The amplitudes of the multifocal electroretinograms were reduced in the area of the scotoma. Optical coherence tomography showed that both the external limiting membrane and the inner and outer segment (IS/OS) line were intact, but that the middle cone outer segment tip line between the IS/OS line and the retinal pigment epithelium was absent in the nasal macular area of the left eye.
CONCLUSIONS: These findings indicate that the integrity of not only the external limiting membrane and IS/OS line but also the cone outer segment tip line is important for the function of the retina.
Authors:
Michitaka Sugahara; Kei Shinoda; Soiti Celso Matsumoto; Shingo Satofuka; Gen Hanazono; Yutaka Imamura; Atsushi Mizota
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Publication Detail:
Type:  Journal Article     Date:  2011-04-01
Journal Detail:
Title:  Case reports in ophthalmology     Volume:  2     ISSN:  1663-2699     ISO Abbreviation:  Case Report Ophthalmol     Publication Date:  2011  
Date Detail:
Created Date:  2011-04-19     Completed Date:  2011-07-14     Revised Date:  2012-01-12    
Medline Journal Info:
Nlm Unique ID:  101532006     Medline TA:  Case Report Ophthalmol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  116-22     Citation Subset:  -    
Affiliation:
Department of Ophthalmology, Inoue Ganka Clinic, University Hospital Itabashi, Tokyo, Japan.
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