Multimodal imaging in a case of relentless placoid chorioretinitis associated with granulomatous anterior uveitis
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Yes
Purpose
To describe multimodal imaging findings in relentless placoid chorioretinitis (RPC)
Methods
Case report
Results
A 53-year-old woman presented with a blurring vision in the RE. The BCVA was 20/32 in the RE and 20/20 in the LE. Slit-lamp examination revealed granulomatous anterior uveitis and vitritis in the RE. Fundus examination showed disc swelling and creamy placoid confluent lesions in the posterior pole and the mid-periphery of the RE and pigmented lesions in the LE. Active lesions were hypo and hyperautofluorescent on fundus autofluorescence, hypofluorescent in the early phase with late staining on FA, and hypofluorescent on ICG angiography. SS-OCT showed disruption of the outer retinal layers and SS-OCTA revealed extensive areas of loss of signal at the level of choriocapillaris. Results of work-up were negative. The inflammation was controlled with corticosteroids and azathioprine. OCT showed a partial resolution of the structural disruptions, and OCTA revealed a partial restoration of the choriocapillaris perfusion.
Conclusion
Multimodal imaging is helpful in diagnosis, in differentiating between active and inactive lesions, and in monitoring the disease course.
Conflict of interest
No
Author 1
Last name
ABROUG
Initials of first name(s)
N
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 2
Last name
Sellem
Initials of first name(s)
I
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 3
Last name
Smaoui
Initials of first name(s)
S
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 4
Last name
Gatfaoui
Initials of first name(s)
F
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Author 5
Last name
Messaoud
Initials of first name(s)
R
Department
Department of ophthalmology, Tahar Sfar University Hospital
City
Mahdia
Country
Tunisia
Author 6
Last name
Khairallah
Initials of first name(s)
M
Department
Department of ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
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