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Posters

A Young man with macular lesion

Poster Details

First Author: C.K.Chan HONG KONG

Co Author(s):    A. Young   E. Lo   H. Sin            0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

To document a case with whitish lesion at macula

Setting:

A young healthy myopic gentleman presented with left eye acute paracentral scotoma, who had a whitish lesion, located juxtafoveally. His visual acuity of the affected eye was 20/40. Fundus examination revealed yellow-white lesions at the level of the inner choroid and retinal pigment epithelium.

Methods:

Case report (with FA/ ICG film)

Results:

He had history of keeping tortoises as pets (which had recently treated for skin ulceration). Systemic workup was performed to rule out infection. Chest X Ray was clear, mantoux test was negative, all blood test included serology tests of toxoplasmosis, toxocara, brucellosis were all negative. Electrophysiology test were non specific : Multifocal ERG showed depressed focal response in left eye central fovea. Flurescein angiography and indocyanine green angiography showed pooling of dye and mild leakage respectively.

Conclusions:

The lesion spontaneously resolved without treatment. And his vision returned to 20/20. The working diagnosis was punctate inner choroidopathy which is a relatively uncommon inflammatory multifocal chorioretinopathy that affects predominantly young myopic population. It is a self-limited disease with good visual prognosis.

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