Abstract
Purpose To describe an active inflammatory cause of pigmented paravenous retinochoroidal atrophy.
Methods A 54-year-old female patient presented with complaints of worsening visual acuity and poor night vision was examined. Fundus examination was performed and color fundus photographs were taken. In addition to fluorescein angiography, visual field examinations and electroretinographic tests were performed. Macular evaluation was performed with optical coherence tomography.
Results Both fundi showed circumscribed patches of retinochoroidal atrophy and pigmentation along the retinal veins. She had also marked vitreous cells with snow ball opacities and cystoid macular edema in both eyes. Fluorescein angiography confirmed the presence of a hyperfluorescence due to widespread paravenous retinal pigment epithelial defect while ICG angiography disclosed hypofluorescence in all phases. The electroretinogram showed reduced responses especially in the left eye. Visual field tests showed scotomas corresponding with areas of atrophy along the retinal veins.
Conclusions This is a report of the findings in pigmented paravenous retinochoroidal atrophy that is a nonspecific degenerative disease and may occur in association with systemic infections or inflammation. Ocular inflammation with cystoid macular edema is an unusual manifestation of the disease.
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References
Noble KG, Carr RE . Pigmented paravenous chorioretinal atrophy. Am J Ophthalmol 1983; 96: 338–344
Rothberg DS, Cibis GW, Trese M . Paravenous pigmentary retinochoroidal atrophy. Ann Ophthalmol 1984; 16: 643–646
Haustrate FMRJ, Oosterhuis JA . Pigmented paravenous retinochoroidal atrophy. Doc Ophthalmol 1986; 63: 209–237
Klop K, Van Schooneveld MJ . Pigmented paravenous retinochoroidal atrophy: a nosologic entity?. Doc Ophthalmol 1988; 70: 185–193
Hayasaka S, Shibasaki H, Noda S, Fujii M, Setogawa T . Pigmented paravenous retinochoroidal atrophy in a 68-year-old man. Ann Ophthalmol 1991; 23: 177–180
Parafita M, Diaz A, Torrijos IG, Gomez-Ulla F . Pigmented paravenous retinochoroidal atrophy. Optometry and Vision Science 1993; 70: 75–78
Pearlman JT, Kamin DF, Kopelow SM, Saxton J . Pigmented paravenous retinochoroidal atrophy. Am J Ophthalmol 1975; 80: 630–635
Pearlman JT, Heckenlively JR, Bastek JV . Progressive nature of paravenous chorioretinal atrophy. Am J Ophthalmol 1978; 85: 215–217
Small KW, Anderson WB . Pigmented paravenous retinochoroidal atrophy discordant expression in monozygotic twins. Arch Ophthalmol 1991; 109: 1408–1410
Yamaguchi K, Hara S, Tanifuji Y, Tamai M . Inflammatory pigmented paravenous retinochoroidal atrophy. Br J Ophthalmol 1989; 73: 463–467
Skalka HW . Hereditary pigmented paravenous retinochoroidal atrophy. Am J Ophthalmol 1979; 87: 286–291
Chen MS, Yang CH, Huang JS . Bilateral macular coloboma and pigmented paravenous retinochoroidal atrophy. Br J Ophthalmol 1992; 76: 250–251
Limaye SR, Mahmood MA . Retinal microangiopathy in pigmented paravenous chorioretinal atrophy. Br J Ophthalmol 1987; 71: 757–761
Hsin-Hsiang C . Retinochoroiditis radiata. Am J Ophthalmol 1948; 31: 1485–1487
Scheie HG, Morse PH . Rubeola retinopathy. Arch Ophthalmol 1972; 88: 341–344
Foxman SG, Heckenlively JR, Sinclair SH . Rubeola retinopathy and pigmented paravenous retinochoroidal atrophy. Am J Ophthalmol 1985; 99: 605–606
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This case report was presented at the VIth Mediterranean Ophthalmological Society Congress and VIth Michealson Symposium May 21–26 2001, Jerusalem, Israel
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Batioğlu, F., Atmaca, L., Atilla, H. et al. Inflammatory pigmented paravenous retinochoroidal atrophy. Eye 16, 81–84 (2002). https://doi.org/10.1038/sj.eye.6700021
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DOI: https://doi.org/10.1038/sj.eye.6700021
