Arquivos Brasileiros de Oftalmologia | |
Pattern of inner retinal layers involvement in pigmented paravenous retinochoroidal atrophy as determined by SD-OCT: case report | |
Daniela Laura Melo Junqueira1  Flavio Siqueira Santos Lopes1  Luís Gustavo Biteli1  Tiago Santos Prata1  | |
[1] ,Hospital Medicina dos OlhosSão Paulo SP ,Brazil | |
关键词: Atrophy; Retinal ganglion cells; Choroid; Retina; Retinal nerve fiber layer; Tomography; optical coherence; Visual field; Case report; Atrofia; Células ganglionares da retina; Coroide; Retina; Camada de fibras nervosas da retina; Tomografia de coerência óptica; Campo visual; Relato de caso; | |
DOI : 10.1590/S0004-27492013000600014 | |
来源: SciELO | |
【 摘 要 】
Pigmented paravenous retinochoroidal atrophy is an ocular disease characterized by outer retina and choroidal atrophy often with overlying intraretinal bone spicule pigment deposition along the retinal veins. As a rare condition, there is scant information in the literature regarding the pattern of inner retinal layers involvement. We present a case of a 41-year-old white man initially referred for a glaucoma evaluation. Fundoscopy revealed patches of retinochoroidal atrophy and light pigmentation extending from the optic nerve head along the inferior-temporal retinal veins in both eyes. Using different spectral-domain optical coherence tomography (SD-OCT) protocols we identified a significant thinning of the inner retinal layers along the inferior-temporal veins, but with a lucid interval surrounding the optic nerve head. Standard automated perimetry revealed a superior absolute arcuate scotoma sparing the central fixation (good structure-functional correlation). This pattern of inner retinal layers involvement was not previously described. We believe SD-OCT added significantly to the anatomical description of this case. Physicians should consider these new anatomical findings and correlate them with functional status while assessing these patients.
【 授权许可】
CC BY
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO202103040003600ZK.pdf | 498KB | download |