A case of multifocal choroiditis associated with progressive subretinal fibrosis.
|
Accession number;99A0239360
|
| Title;A case of multifocal choroiditis associated with progressive subretinal fibrosis. |
| Author;
IMAI HIROSHI
(Nihon Univ., Sch. of Med.)
KAWAKUBO HIROSHI
(Nihon Univ., Sch. of Med.)
YUZAWA MITSUKO
(Nihon Univ., Sch. of Med.)
INAMURA MIKIO
(Inamuragankaiin)
|
Journal Title;Ophthalmology
|
Journal Code:Z0277A
|
ISSN:0016-4488
|
|
VOL.41;NO.1;PAGE.79-83(1999)
|
| Figure&Table&Reference;FIG.2, REF.13 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We reported a case of multifocal choroiditis with progressive subretinal fibrosis. The case was a 24-year-old woman presenting with blurred vision in her right eye. The corrected vision was 0.1 in the right eye and 1.0 in the left eye. Ophthalmoscopic examination showed multifocal, yellow-white, placoid lesions at the level of the retinal pigment epithelium and choroid, and showed gourd-form irregular subretinal fibrosis in the macular area of her right eye. Fluorescein angiography(FA), corresponding to the yellow-white placoid lesions, showed hypofluorescence in the early phase and staining in the late phase. Indocyanine green angiography(IA), showed hypofluorescence in the early phase, corresponding to these lesions. The hypofluorescent area decreased in size centripetally, and filling of dye appeared at the center of some hypofluorescent areas in the late phase of IA. Judging from both FA and IA findings, we believe that the yellow-white, placoid lesions resulted from choroidal circulatory disturbance. About four months later, the yellow-white, placoid lesions had become atrophic, and the subretinal fibrosis was decreased, surrounded by pigmentation, and formed a star figure. Vision had improved to 1.0. Careful follow-up is important because the disease tends to be bilateral with sequential involvement. (author abst.) |
|
|
|
Related Articles;
|
|
