Large choroidal excavation in a patient with rubella retinopathy.

Abstract:

PURPOSE:To describe a case of rubella retinopathy complicated by bilateral choroidal neovascularization (CNV) and late development of large choroidal excavation (LCE). METHODS:A 19-year-old woman with a diagnosis of rubella retinopathy underwent her annual ophthalmologic examination, including visual acuity testing and slit-lamp biomicroscopy with dilated fundus examination. Color fundus photography, spectral-domain optical coherence tomography (SD-OCT) scans, and optical coherence tomography angiography were acquired to complete the investigation of her ocular condition. The main findings are described in this case report. RESULTS:This woman came to our attention in 2010 with a history of rubella retinopathy, complicated by bilateral CNV and treated with photodynamic therapy (PDT) in 2006. After 6 years of annual follow-up examinations, her visual acuity remained stable in both eyes (20/100), whereas SD-OCT scans uncovered the development of a bilateral LCE in the macular area, associated with a macular hole in the right eye. Optical coherence tomography angiography revealed a vascular network surrounding the choroidal excavation. CONCLUSIONS:Large choroidal excavation is a rare finding that has been described in few chorioretinal diseases, e.g., North Carolina macular dystrophy and toxoplasmosis. We propose to include rubella retinopathy complicated by CNV in the differential diagnosis of LCE, although we recognize the possibility that PDT might have induced or facilitated its formation.

journal_name

Eur J Ophthalmol

authors

Parodi MB,Romano F,Montagna M,Bandello F

doi

10.5301/ejo.5001056

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

251-252

issue

2

eissn

1120-6721

issn

1724-6016

pii

23FE11D2-C919-4C6E-B739-28D99614B45E

journal_volume

28

pub_type

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