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Inflammatory pigmented paravenous retinochoroidal atrophy
F Batioglu1, L S Atmaca, H Atilla
1Ankara University School of Medicine, Eye Clinic, Turkey. batioglu@hotmail.com
Eye (London, England)
|March 27, 2002
Summary
Pigmented paravenous retinochoroidal atrophy can be caused by active inflammation. This case report highlights ocular inflammation with cystoid macular edema as an unusual manifestation.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Inflammatory Eye Conditions
Background:
- Pigmented paravenous retinochoroidal atrophy is typically considered a degenerative condition.
- Its association with active inflammation is not widely recognized.
Observation:
- A 54-year-old female presented with decreased visual acuity and nyctalopia.
- Fundus examination revealed retinochoroidal atrophy and pigmentation along retinal veins, vitreous cells, and cystoid macular edema.
- Ancillary tests included fluorescein angiography, ICG angiography, visual field testing, and optical coherence tomography.
Findings:
- Fluorescein angiography showed retinal pigment epithelial defects.
- ICG angiography revealed hypofluorescence.
- Electroretinography demonstrated reduced responses, and visual field tests indicated corresponding scotomas.
Implications:
- This case suggests that active ocular inflammation, including cystoid macular edema, can be an unusual manifestation of pigmented paravenous retinochoroidal atrophy.
- Recognizing this inflammatory association is crucial for accurate diagnosis and management.
