a case of uveal colobomas showing marked left-right difference in diabetic retinopathy

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ID: 186025
2016
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Abstract
Purpose: Congenital uveal colobomas, including inferior iris and choroidal colobomas, are associated with microcornea and microphthalmia and often show left-right differences (laterality). The purpose of this study was to report a case of choroidal coloboma associated with left-right differences in diabetic retinopathy (DR). Case: This study reports a 59-year-old male with bilateral iris and choroidal colobomas. The colobomatous area in the patient's right eye extended to the macula, and his right eye had been amblyopic since birth. The colobomatous area in his left eye was less extensive and did not involve the macula. Examination of the patient's left eye revealed multiple hemorrhages and hard exudates in the macula due to DR, but examination of his right eye showed almost no changes in DR, thus revealing a marked left-right difference. Optical coherence tomography showed more extensive retinal thinning in the patient's right eye than in his left eye. Fluorescein fundus angiography revealed a retinal nonperfusion area only in the left eye, and panretinal photocoagulation was subsequently performed. Conclusion: Our findings show that the reason for the left-right difference in DR was attributed to the more severe choroidal coloboma and retinal thinning in the patient's right eye compared to his left eye, thus reducing oxygen demand, as is also seen in eyes with severe myopia.
Reference Key
moriya2016casea Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Takeshi Moriya;Ryosuke Ochi;Yukihiro Imagawa;Bumpei Sato;Seita Morishita;Masahiro Tonari;Masanori Fukumoto;Hiroyuki Suzuki;Takatoshi Kobayashi;Teruyo Kida;Tsunehiko Ikeda
Journal bilimsel tamamlayıcı tıp regülasyon ve nöral terapi dergisi
Year 2016
DOI
10.1159/000445248
URL
http://www.karger.com/Article/FullText/445248
Keywords
Diabetic retinopathy Optical coherence tomography

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