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Punctate Inner Choroidopathy
Mariana Sá-Cardoso1, Arnaldo Dias-Santos2, Natália Nogueira3
1Department of Ophthalmology, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.
Case Reports in Ophthalmological Medicine
|June 11, 2015
Summary
This case report details a rare condition, punctate inner choroidopathy (PIC), presenting as blurred vision in a young woman. Diagnosis was confirmed through characteristic fundoscopy and imaging findings.
Area of Science:
- Ophthalmology
- Medical Case Reports
Background:
- Punctate inner choroidopathy (PIC) is an uncommon inflammatory condition affecting the choroid.
- It typically presents with visual disturbances and characteristic funduscopic findings.
Purpose of the Study:
- To present a case of bilateral punctate inner choroidopathy (PIC).
- To describe the clinical presentation and diagnostic findings of PIC in a young female patient.
Main Methods:
- Case report of a 26-year-old woman with bilateral blurred vision.
- Diagnostic tools included fundoscopy, fluorescein angiography, indocyanine green angiography, and optical coherence tomography.
- Exclusion of autoimmune and infectious etiologies through laboratory and imaging studies.
Main Results:
- Fundoscopy revealed multiple, small, yellow-white lesions in the posterior pole of both eyes.
- Angiography showed hyperfluorescent lesions on fluorescein and hypofluorescent lesions on indocyanine green.
- Optical coherence tomography demonstrated retinal pigment epithelium elevations with sub-RPE hyporeflective spaces.
Conclusions:
- Punctate inner choroidopathy (PIC) is a rare condition with a classic presentation in young women.
- This case highlights the diagnostic utility of multimodal imaging in identifying PIC.
- The absence of systemic disease supports an idiopathic or primary choroidal inflammatory process.
