Metrika članka

  • citati u SCindeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[=>]
  • posete u poslednjih 30 dana:7
  • preuzimanja u poslednjih 30 dana:2
članak: 10 od 71  
Back povratak na rezultate
Medicinski pregled
2014, vol. 67, br. 5-6, str. 185-189
jezik rada: engleski
vrsta rada: prikaz slučaja
objavljeno: 09/05/2014
doi: 10.2298/MPNS1406185T
Retinalna hemoragija kao komplikacija druza optičkog diska u trudnoći
aKlinički centar Niš, Klinika za očne bolesti
bKlinički centar Niš, Centar za radiologiju
cKlinički centar Niš, Klinika za ginekologiju i akušerstvo

e-adresa: marija.trenkic@gmail.com

Sažetak

Uvod. Druze optičkog diska su relativno benigna i asimptomatska pojava. Predstavljaju retinalna hijalina telašca nastala kao produkt narušenog aksoplazmatskog transporta retinalnih ganglijskih ćelija u vidnom živcu ispred lamine cribrosae. Otkrivaju se najčešće slučajno pri rutinskom oftalmološkom pregledu. Češće su kod žena i belaca. Većina pacijenata sa druzama optičkog diska nije svesna pogoršanja svog vidnog polja zbog lagane progresije. Oštećenje oštrine vida zbog druza optičkog diska je retko. Prikaz slučaja. Pacijentkinja starosti 27 godina, u šestom mesecu trudnoće javila se oftalmologu zbog subjektivnih smetnji u vidu magle i osećaja senke pred desnim okom. Pri prvom pregledu vidna oštrina oba oka bila je 1,0. Viđene su preretinalne i retinalne hemoragije koje uokviruju donju polovinu papile vidnog živca. Kompletno laboratorijsko i kliničko ispitivanje, kao i specifični oftalmološki pregledi (fotofundus, kompjuterizovano vidno polje, optička koherentna tomografija, ultrazvučni pregled) sprovedeni su da bi se isključili sistemski uzroci i iznela trudnoća bez rizika. Ehosonografski pregled je potvrdio obostrano prisustvo druza vidnog živca. Zaključak. Hemodinamičke promene u trudnoći su mogući faktor nastanka hemoragija optičkog diska i retine. Znajući da je tretman druza optičkog diska ograničen, prepoznavanje druza vidnog živca kao uzroka hemoragija u trudnoći sprečava nepotrebne dijagnostičke i terapijske intervencije.

Ključne reči

Retinalna hemoragija; Trudnoća; Druza optičkog diska; Žensko; Odrasli; Rana dijagnoza; Hematološke komplikacije u trudnoći

Reference

*** (2013) Optic disc drusen (editorial). u: Review of optometry, New York: Jobson Publishing, LLC, p. 75-7
Abeysiri, P., Sivaprasad, S., Trew, D. (2003) Optic disc drusen. Lancet, 362(9382): 468
Aumiller, M.S. (2007) Optic disc drusen: Complications and management. Optometry - Journal of the American Optometric Association, 78(1): 10-16
Austin, J.K. (1995) Optic disc drusen and associated venous stasis retinopathy. Journal of the American Optometric Association, 66(2): 91-5
Auw-Haedrich, C., Staubach, F., Witschel, H. (2002) Optic Disk Drusen. Survey of Ophthalmology, 47(6): 515-532
Borruat, F.X., Sanders, M.D. (1996) Vascular anomalies and complications of optic nerve drusen. Klinische Monatsblätter für Augenheilkunde, 208(5): 294-6
Brodrick, J.D. (1973) Drusen of the disc and retinal haemorrhages. British journal of ophthalmology, 57(5): 299-306
Flores-Rodríguez, P., Gili, P., Martín-Ríos, M.D. (2012) Sensitivity and specificity of time-domain and spectral-domain optical coherence tomography in differentiating optic nerve head drusen and optic disc oedema. Ophthalmic & physiological optics, 32(3): 213-21
Floyd, M.S., Katz, B.J., Digre, K.B. (2005) Measurement of the scleral canal using optical coherence tomography in patients with optic nerve drusen. American journal of ophthalmology, 139(4): 664-9
Friedman, A.H., Beckerman, B., Gold, D.H., Walsh, J.B., Gartner, S. (1977) Druse of the optic disc: review. Surv Ophthalmol, 21(5): 375-390
Gili, P., Flores-Rodríguez, P., Yangüela, J., Orduña-Azcona, J., Martín-Ríos, M.D. (2013) Evaluation of optic disc size in patients with optic nerve head drusen using fundus photography. Journal of Optometry, 6(2): 75-79
Johnson, L.N., Diehl, M.L., Hamm, C.W., Sommerville, D.N., Petroski, G.F. (2009) Differentiating optic disc edema from optic nerve head drusen on optical coherence tomography. Archives of ophthalmology, 127(1): 45-9
Katz, B.J., Pomeranz, H.D. (2006) Visual field defects and retinal nerve fiber layer defects in eyes with buried optic nerve drusen. American journal of ophthalmology, 141(2): 248-253
Lee, A.G., Zimmerman, B.M. (2005) The rate of visual field loss in optic nerve head drusen. American journal of ophthalmology, 139(6): 1062-6
Lee, K.M., Woo, S.J., Hwang, J. (2013) Morphologic characteristics of optic nerve head drusen on spectral-domain optical coherence tomography. American journal of ophthalmology, 155(6): 1139-1147.e1
Manzanaro, P.G., Rodilla, J.Y., Caravaca, G.R., Font, C.C., Rodrigo, J.C.R., Puent, A.A. (2010) Decreased visual acuity from optic disc drusen. Arch Soc Esp Oftalmol, 85(2): 64-69
Mehta, J.S., Bates, A., Chan, J., Kuteesa, W., Acheson, J.F. (2005) Pregnancy associated, optic disc drusen related visual loss. Acta Ophthalmologica Scandinavica, 84(2): 271-273
Mikhail, M., Yegappan, C., Rodriguez, A.R. (2012) Optic Disc Drusen and Anterior Ischaemic Optic Neuropathy in Pregnancy. Neuro-Ophthalmology, 36(1): 23-25
Morris, R.W., Ellerbrock, J.M., Hamp, A.M., Joy, J.T., Roels, P., Davis, C.N. (2009) Advanced visual field loss secondary to optic nerve head drusen: case report and literature review. Optometry (St. Louis, Mo.), 80(2): 83-100
Neffendorf, J.E., Mulholland, C., Quinlan, M., Lyons, C.J. (2010) Disc drusen complicated by optic disc hemorrhage in childhood. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 45(5): 537-8
Nicholson, B., Ahmad, B., Sears, J.E. (2011) Congenital optic nerve malformations. International ophthalmology clinics, 51(1): 49-76
Romero, J., Sowka, J., Shechtman, D. (2008) Hemorrhagic complications of optic disc drusen and available treatment options. Optometry (St. Louis, Mo.), 79(9): 496-500
Rott, D., Leibowitz, D. (2009) Optic nerve head drusen mimicking papilledema and malignant hypertension. Eur J Intern Med, 20: 112-113
Rubinstein, K., Ali, M. (1982) Retinal complications of optic disc drusen. British journal of ophthalmology, 66(2): 83-95
Sanders, T.E., Gay, A.J., Newman, M. (1971) Hemorrhagic complications of drusen of the optic disk. American journal of ophthalmology, 71(1 Pt 2): 204-17
Sato, T., Mrejen, S., Spaide, R.F. (2013) Multimodal imaging of optic disc drusen. American journal of ophthalmology, 156(2): 275-282.e1
Sullu, Y., Yildiz, L., Erkan, D. (2003) Submacular surgery for choroidal neovascularization secondary to optic nerve drusen. American journal of ophthalmology, 136(2): 367-70
Usui, T., Takagi, M., Hasegawa, S., Abe, H., Nanba, K., Ogawa, R. (2001) Bilateral optic disc drusen with severe progressive visual field defect. Neuro-Ophthalmology, 25(4): 229-232
Wilkins, J.M., Pomeranz, H.D. (2004) Visual Manifestations of Visible and Buried Optic Disc Drusen. Journal of Neuro-Ophthalmology, 24(2): 125-129
Yehoshua, Z., Gregori, G., Sadda, S.R., Penha, F.M., Goldhardt, R., Nittala, M.G., Konduru, R.K., Feuer, W.J., Gupta, P., Li, Y., Rosenfeld, P.J. (2013) Comparison of drusen area detected by spectral domain optical coherence tomography and color fundus imaging. Investigative ophthalmology & visual science, 54(4): 2429-34
Zaidi, F.H., Corbett, M.C. (2004) Optic disc drusen associated with neovascularization of optic disc. Eye, 19:814-6