First Author: D.Kovacevic Pavicevic SERBIA
Co Author(s): A. Radosavljevic A. Ilic N. Kosanovic Jakovic I. Kovacevic Z. Abazi 0 0 0 0 0 0 0 0 0
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Punctate inner choroidopathy (PIC) is an idiopathic, recurrent primary inflammatory choriocapillaropathy that affects young, myopic, Caucasian women. The main vision threatening complication of the disease is choroidal neovascular membrane. The purpose of this paper is to present a case of PIC and treatment challenges for this disease.
Uveitis department of Clinic for Eye Diseases, Clinical Center of Serbia in Belgrade, Serbia.
Case report of the patient treated at the Clinic for Eye Diseases, Clinical Center of Serbia in Belgrade. Patient underwent complete ophthalmological investigation including visual acuity (VA) assessment, applanation tonometry, slit lamp and fundus examination, fluorescein angiography (FA) and optical coherence tomography (OCT). Systemic investigation included: biochemical analyses, blood count, SE rate, CRP, immunological investigation, HLA typization, serological analyses for HSV, VZV, CMV, Toxoplasma gondii, Borrelia burgdorferi, Rö of the thorax as well as pulmological investigation.
A 26-year-old female was examined in April 2013, due to the sudden loss of vision in the left eye after acute viral respiratory infection. Best corrected VA of the right eye (RE) was 1.0 and left (LE) 0.9. Intraocular pressure was 16 mmHg. Anterior segment had normal findings. There were no signs of vitritis. Clinically, fundus of the right eye had normal findings and on the left eye paramacular subretinal yellowish lesions were present. Visual field testing showed paracentral scotoma in the left eye. OCT showed fine changes at the level of retinal pigment epithelium. After exclusion of potential infective causes, in the treatment was introduced per oral Prednisone. Two week later, BCVA of the left eye improved to 1.0. After eight months of follow up, there were no relapses of the disease.
Treatment with Prednisone was efficacious in preventing the progression of PIC and preservation of visual function. The patients’ follow up is ongoing.