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A case of bilateral Primary Inflammatory Choriocapillaropathy

Session Details

Session Title: Uveitis

Session Date/Time: Saturday 19/09/2015 | 11:00-12:30

Paper Time: 11:48

Venue: Hermes

First Author: : I.Deryapa UKRAINE

Co Author(s): :    N. Karandiuk              

Abstract Details

PURPOSE:Observation of a bilateral pathology - Primary Inflammatory Choriocapillaropathy(PICCP). We observed a case of bilateral PICCP (female, 14 years old). Patient presented with acute, painless, bilateral decreased vision, dark spots in front of eyes. The disease was preceded by a viral infection and stress. We analyzed symptoms, clinical signs and therapy. During the observation and treatment of the patient were made ocular examination (visual acuty, Intra-ocular pressure, visual fields, ophthalmoscopy, Optical coherence tomography (OCT)), Magnetic resonance imaging(MRI), blood tests (complete blood count, infectious panel).

Setting:

Patient data: Visual Acuity: OD—20/63; OS—20/63, visual field – multiple central scotomas, enlargement of the blind spot, fundus exam: OU—white spots in the macula, OCT - multiple defects, thinning of retinal pigment epithelium(RPE) with foveolar infiltration signs. Blood tests – lymphocytic leukocytosis, the rest of tests- normal, MRI – normal.

Methods:

The patient was treated with parabulbar injection of long-acting corticosteroid, nonsteroidal anti-inflammatory drug, probiotics (that was prescribed by otolaryngologist because of pharyngitis), Lutein containing vitamins. In the process of the observation we were regularly conducting exams of visual acuity, visual fields, OCT.

Results:

At the end of observation Visual Acuity: OD—20/20; OS—20/20, Intra-ocular pressure: 12 mmHg OU, visual field – normal, fundus exam: OU—single white, granular retinal pigment epithelium (RPE) changes in the central macula preserved. OCT – single defects of retinal pigment epithelium, the thickness of pigment epithelium - normal. Blood tests – normal.

Conclusions:

Primary Inflammatory Choriocapillaropathy(formerly white dot syndrome) is a rare inflammatory disease that afflicts young women more than men in a 4:1 ratio. Our patient is the typical age and gender. Viral illness had been preceeding the disease, which can be present in approximately 1/3 of PICCP patients. Visual field testing reveals enlargement of the blind spot, central, and/or paracentral scotomas. We observed binocular process what was unusual sign of PICCP. Typically, the visual acuity recovers, but the granularity of the foveal RPE remains. That being said, the prognosis is quite good for these patients.

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