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Exudative retinal detachment in relapsing polychondritis : case report and literature review
N Bhagat1, R L Green, S E Feldon
1Doheny Eye Institute and the Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.
Objective:
To report the atypical ocular symptoms (arterialized conjunctival vessels, exudative retinal detachment) that can be the presenting manifestations of relapsing polychondritis.
Design:
Observational case report and literature review.
Methods:
A complete ocular and systemic evaluation was performed on a patient with relapsing polychondritis and exudative retinal detachment.
Main Outcome Measures:
Retinal, choroidal, and scleral findings.
Results:
A 73-year-old man with relapsing polychondritis presented with a unilateral large bullous exudative retinal detachment and marked choroidal and scleral thickening bilaterally.
Conclusions:
Ophthalmologists should consider relapsing polychondritis in the differential diagnosis of exudative retinal detachment. A combination of echographic and laboratory findings can assist in the accurate diagnosis of this rare condition.