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両眼に典型的な卵黄様黄斑病巣を有しながら,正常なEOGを示す1症例を経験した。
(1)症例は21歳女子。両眼黄斑部に約2乳頭径の卵黄様病変が存在した。
(2)経過観察中,1眼がscrambled egg stageを呈した。
(3) EOGのL/D ratioは右1.90,左1.78であった。3カ月後の再検査では,右2.15,左1.82であった。
(4)家族歴は証明されていない。
A 21-year-old female was diagnosed as vitelliform macular degeneration in both eyes. Metamorpho-psia appeared one month before. The past history was negative except for nephritis at the age of 17. There was no family history of eye trouble. Correct-ed visual acuity was 0.7 OD and 1.0 OS. The egg-yolk macular lesion was about two disc diameters. The upper nasal margin of the right macular lesion was irregular. Fluorescein angiographic findings were typical for early vitelliform macular degenera-tion. Bilateral relative central scotoma was detected by visual field examination.
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