Pattern Dystrophy of the Macula in a Case of Steinert Disease
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作者:
Esteves, Filipe
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Ctr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
Univ & Polytech Hosp La Fe, Dept Ophthalmol, Unit Macula & Med Retina, Valencia, SpainCtr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
Esteves, Filipe
[1
,2
]
Dolz-Marco, Rosa
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Univ & Polytech Hosp La Fe, Dept Ophthalmol, Unit Macula & Med Retina, Valencia, SpainCtr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
Dolz-Marco, Rosa
[2
]
Hernandez-Martinez, Pablo
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Univ & Polytech Hosp La Fe, Dept Ophthalmol, Unit Macula & Med Retina, Valencia, SpainCtr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
Hernandez-Martinez, Pablo
[2
]
Diaz-Llopis, Manuel
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Univ & Polytech Hosp La Fe, Dept Ophthalmol, Unit Macula & Med Retina, Valencia, Spain
Univ Valencia, Fac Med, Valencia, SpainCtr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
Diaz-Llopis, Manuel
[2
,3
]
Gallego-Pinazo, Roberto
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Univ & Polytech Hosp La Fe, Dept Ophthalmol, Unit Macula & Med Retina, Valencia, SpainCtr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
Gallego-Pinazo, Roberto
[2
]
机构:
[1] Ctr Hosp Entre Douro & Vouga, Dept Ophthalmol, Santa Maria Feira, Portugal
[2] Univ & Polytech Hosp La Fe, Dept Ophthalmol, Unit Macula & Med Retina, Valencia, Spain
Introduction: Myotonic dystrophies are typically associated with ocular complications like ptosis, weakness of the ocular muscle and cataracts, but also with less recognized retinal changes. Case Report: A 41-year-old female with type 1 myotonic dystrophy complained of progressive vision loss. Slit lamp examination revealed the presence of typical bilateral polychromatic cataract with posterior subcapsular component. Dilated fundus examination was remarkable for bilateral macular depigmented changes. Multimodal imaging analysis of the macula suggested the presence of a butterfly-shaped pattern dystrophy. Discussion: In cases of myotonic dystrophies it is of great relevance to analyze the presence of retinal changes that might limit the visual improvement following cataract extraction. (C) 2013 S. Karger AG, Basel