[Unilateral pigmentary retinopathy : about 2 cases]

Area of Science:

• Ophthalmology
• Infectious Diseases
• Neuro-ophthalmology

Background:

• Retinitis pigmentosa (RP) is a group of inherited retinal diseases.
• Unilateral presentations are rare, raising diagnostic challenges.
• Pigmentary changes on fundus examination are characteristic of RP.

Observation:

• Two cases of unilateral retinal involvement with pigmentary lesions were observed.
• Fundus examination revealed morphological and functional retinal aspects suggestive of RP.
• One patient had a history of Bartonella infection; the other had pre-existing multiple sclerosis.

Findings:

• A diagnosis of unilateral pigmentary retinopathy was made in both cases.
• The unilateral presentation was associated with Bartonella in one case and multiple sclerosis in the other.
• These associations suggest potential triggers or related conditions for the retinopathy.

Implications:

• Unilateral pigmentary retinopathy can be associated with infectious or neurological conditions.
• Careful patient history and investigation are essential for accurate diagnosis.
• Extended follow-up is necessary to monitor for potential progression or involvement of the other eye, suggesting asymmetrical bilateral retinitis pigmentosa.