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IDIOPATHIC MULTIFOCAL CHOROIDITIS PRESENTING WITH A TRANSIENT PERIPAPILLARY WHITE RING.
Sarra Gattoussi1,2,3, Quraish Ghadiali1,2,4, Rosa Dolz-Marco1,2
1LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York.
Retinal Cases & Brief Reports
|November 28, 2017
Summary
Idiopathic multifocal choroiditis can present with a transient peripapillary white ring. Prompt corticosteroid treatment led to the resolution of inflammatory lesions and restoration of the ellipsoid zone in this case.
Area of Science:
- Ophthalmology
- Medical Imaging
- Retinal Diseases
Background:
- Idiopathic multifocal choroiditis (IMFC) is an inflammatory condition affecting the choroid and retina.
- Multimodal imaging plays a crucial role in diagnosing and monitoring retinal inflammatory diseases.
Observation:
- A case report details a 39-year-old woman with IMFC who developed a transient peripapillary white ring.
- Imaging revealed sub-retinal pigment epithelium inflammatory lesions, hyperautofluorescence, and ellipsoid zone disruption.
- The patient presented with floaters and visual field defects.
Findings:
- The peripapillary white ring, a novel finding in IMFC, was hyperautofluorescent on ultra-widefield fundus autofluorescence.
- Spectral domain optical coherence tomography confirmed inflammatory lesions and ellipsoid zone disruption.
- Treatment with oral prednisone resulted in lesion regression and ellipsoid zone restoration.
Implications:
- This case highlights a unique presentation of IMFC with a transient peripapillary white ring.
- Early diagnosis and treatment with corticosteroids can lead to favorable visual outcomes and retinal structure recovery.
- Multimodal imaging is essential for characterizing IMFC and its complications.
