전신질환이 없는 건강한 환자에서 나타난 단독 면화반 1예

• 영문명: A Single Isolated Cotton-Wool Spot not Associated with Systemic Diseases
• 발행기관: 대한안과학회
• 저자명: 박새미 조인환 박태관 온영훈,Sae Mi Park, MD, In Hwan Cho, MD, Tae Kwann Park, MD, PhD, Young Hoon Ohn, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number12, 1898~1903쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.12.15

영문 초록

Purpose: To present a case of a single isolated cotton-wool spot in a healthy patient. Case summary: A 43-year-old woman with no systemic disease complained of sudden inferior field defect of the right eye. On fundoscopic examination of the right eye, a single soft white spot was observed in the superotemporal vascular arcade. An elevated hyper-reflective area in the inner retina corresponding to a white spot was observed on optical coherence tomography. Automated perimetry revealed an arcuate field defect which was wider than the cotton-wool spot. A complete workup for systemic diseases was within normal range except a positive rheumatoid factor. At the 2-week follow-up, the patient’s subjective symptom improved and the white spot decreased. After 6 months, the cotton-wool spot disappeared and slit-like retinal nerve fiber layer (RNFL) defects corresponding to the location of the cotton-wool spot was noticed. One year later, disc and RNFL defect were unchanged but the previous field defect disappeared. Conclusions: Isolated cotton-wool spots can occur without serious systemic diseases in healthy patients. A single isolated cotton-wool spot in the present case disappeared spontaneously leaving permanent structural damage on the retina over time.

키워드

Cotton-wool spot, Retinal nerve fiber layer defect, Systemic disease