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PERSISTENT PLACOID MACULOPATHY IMAGED BY OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY.

Nathalie Puche1, Ruxandra Hera, Celine Terrada

  • 1*Centre Alpes Rétine, Montbonnot-Grenoble, France; †Centre Ophtalmologique Roule-Peretti, Neuilly sur Seine; ‡Department of Ophtalmology, Hôpital Lariboisière, Paris, France; and §Department of Ophtalmology, Centre Hospitalier Intercommunal de Créteil, University Paris Est.

Retinal Cases & Brief Reports
|April 19, 2016
PubMed
Summary

Optical coherence tomography angiography revealed focal hypoperfusion in the choriocapillaris of a patient with persistent placoid maculopathy. This finding, alongside infracyanine green angiography, aids in diagnosing this rare condition.

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Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Choroidal Vasculature

Background:

  • Persistent placoid maculopathy is an uncommon condition affecting the macula.
  • Multimodal imaging is crucial for diagnosing and understanding choroidal diseases.

Observation:

  • A 72-year-old male presented with blurred vision and was evaluated using various imaging techniques.
  • Spectral domain optical coherence tomography showed ellipsoid layer disruption.
  • Infracyanine green angiography revealed persistent hypocyanescence in both eyes.

Findings:

  • Optical coherence tomography angiography demonstrated hypo-signal lesions in the choroidal capillaries.
  • These lesions corresponded precisely to hypocyanescent areas seen on infracyanine green angiography.
  • A distinct hypo-signal on optical coherence tomography angiography indicated focal choriocapillaris hypoperfusion.

Implications:

  • Optical coherence tomography angiography is valuable for detecting choriocapillaris hypoperfusion in placoid maculopathy.
  • Combined imaging findings suggest a specific vascular compromise in this condition.
  • This case highlights the utility of advanced imaging in diagnosing rare ophthalmological disorders.