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Klopto 3: Perifere fundus, klachten, onderzoek, uitkomst van Arjan de Graaf
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Samenvatting van HC 3 van Klopto, met de leerdoelen uitgewerkt.
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Klopto3: Perifere fundus, klachten/ onderzoek/ uitkomst
Intra-retinale degeneraties
Seniele retinoschisis
- Congenitaal of verworven
- Convex van vorm, in het Engels ook wel dome shaped
- Glad, egaal, geen hobbels of bobbels
- Er zijn geen retinadefecten, pigmentcellen in het CV, (geen tobacco dust), geen
demarcatielijn, dit in tegenstelling tot een ablatio retinae
- Micro- cystoïde degeneratie: splijting van de neuro sensorische retina, deze wordt
losgetrokken bij de buitenste plexiforme laag
- Zorgt voor uitval
- Zit vaak inferior temporaal
- Absoluut scotoom
- “Beaten metal” verschijning
- Wordt vaak doorverwezen omdat dit kan lijken op een ablatio
Risicofactoren:
- Zelden progressie ten opzichte van de eerste waarneming
- In zeer zeldzame gevallen ontstaat er een ablatio retinae
- Cataract chirurgie of PVD vergroten de risico op progressie niet
- Er is maar een handjevol casussen met progressie van de schizis bekend
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