Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy
Objectives: To evaluate the clinical characteristics of patients who were followed in our clinic with the diagnosis of peripheral exudative hemorrhagic chorioretinopathy (PEHC). Materials and Methods: Medical records of 12 patients who were diagnosed with PEHC in İstanbul University İstanbul Facult...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2016-10-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_11057/Clinical-Features-And-Course-Of-Patients-With-Peripheral-Exudative-Hemorrhagic-Chorioretinopathy |
| _version_ | 1797923801842843648 |
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| author | Zafer Cebeci Yasemin Dere Şerife Bayrakta Samuray Tuncer Nur Kır |
| author_facet | Zafer Cebeci Yasemin Dere Şerife Bayrakta Samuray Tuncer Nur Kır |
| author_sort | Zafer Cebeci |
| collection | DOAJ |
| description | Objectives: To evaluate the clinical characteristics of patients who were followed in our clinic with the diagnosis of peripheral exudative hemorrhagic chorioretinopathy (PEHC).
Materials and Methods: Medical records of 12 patients who were diagnosed with PEHC in İstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology between July 2006 and June 2014 were reviewed retrospectively.
Results: This study included 21 eyes of 12 patients. Four (33.3%) of the patients were male and 8 (66.7%) were female and ages ranged between 73 and 89 years. Eight (66.7%) of the patients were referred to us with the diagnosis of choroidal mass. Unilateral involvement was found in 3 and bilateral involvement in 9 patients. Temporal quadrants were involved in all eyes. Fifteen eyes (71.4%) had subretinal hemorrhage and hemorrhagic/serous retinal pigment epithelial detachment, 11 (52.4%) had lipid exudation, 5 (23.8%) had chronic retinal pigment epithelium alterations, 2 (9.5%) had subretinal fibrosis and 1 (4.8%) had vitreous hemorrhage. PEHC lesions were accompanied by drusen in 11 eyes (52.4%), geographic atrophy in 2 eyes (9.5%), and choroidal neovascularization scar in 2 eyes (9.5%). Treatment was done in both eyes of a patient for lesions which threatened the macula, in a patient with bilateral macular edema and in a patient with vitreous hemorrhage. The remaining eyes were followed-up without any treatment because the lesions did not threaten the macula and they showed no progression during follow-up.
Conclusion: PEHC is a degenerative disease of peripheral retina that is seen in older patients, and signs of age-related macular degeneration (AMD) may accompany this pathology. Especially in patients with AMD findings, the peripheral retina must be evaluated carefully for existing PEHC lesions. |
| first_indexed | 2024-04-10T14:53:03Z |
| format | Article |
| id | doaj.art-1f3f2ef34ca94ae58c73322d10a4a91d |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T14:53:03Z |
| publishDate | 2016-10-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-1f3f2ef34ca94ae58c73322d10a4a91d2023-02-15T16:07:32ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612016-10-0146521522010.4274/tjo.71354Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic ChorioretinopathyZafer Cebeci0Yasemin Dere1Şerife Bayrakta2Samuray Tuncer3Nur Kır4İstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkeyİstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkeyİstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkeyİstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkeyİstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology, İstanbul, TurkeyObjectives: To evaluate the clinical characteristics of patients who were followed in our clinic with the diagnosis of peripheral exudative hemorrhagic chorioretinopathy (PEHC). Materials and Methods: Medical records of 12 patients who were diagnosed with PEHC in İstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology between July 2006 and June 2014 were reviewed retrospectively. Results: This study included 21 eyes of 12 patients. Four (33.3%) of the patients were male and 8 (66.7%) were female and ages ranged between 73 and 89 years. Eight (66.7%) of the patients were referred to us with the diagnosis of choroidal mass. Unilateral involvement was found in 3 and bilateral involvement in 9 patients. Temporal quadrants were involved in all eyes. Fifteen eyes (71.4%) had subretinal hemorrhage and hemorrhagic/serous retinal pigment epithelial detachment, 11 (52.4%) had lipid exudation, 5 (23.8%) had chronic retinal pigment epithelium alterations, 2 (9.5%) had subretinal fibrosis and 1 (4.8%) had vitreous hemorrhage. PEHC lesions were accompanied by drusen in 11 eyes (52.4%), geographic atrophy in 2 eyes (9.5%), and choroidal neovascularization scar in 2 eyes (9.5%). Treatment was done in both eyes of a patient for lesions which threatened the macula, in a patient with bilateral macular edema and in a patient with vitreous hemorrhage. The remaining eyes were followed-up without any treatment because the lesions did not threaten the macula and they showed no progression during follow-up. Conclusion: PEHC is a degenerative disease of peripheral retina that is seen in older patients, and signs of age-related macular degeneration (AMD) may accompany this pathology. Especially in patients with AMD findings, the peripheral retina must be evaluated carefully for existing PEHC lesions.http://www.oftalmoloji.org/article_11057/Clinical-Features-And-Course-Of-Patients-With-Peripheral-Exudative-Hemorrhagic-ChorioretinopathyHemorrhageretinal pigment epithelial detachmentage-related macular degeneration |
| spellingShingle | Zafer Cebeci Yasemin Dere Şerife Bayrakta Samuray Tuncer Nur Kır Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy Türk Oftalmoloji Dergisi Hemorrhage retinal pigment epithelial detachment age-related macular degeneration |
| title | Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy |
| title_full | Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy |
| title_fullStr | Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy |
| title_full_unstemmed | Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy |
| title_short | Clinical Features and Course of Patients with Peripheral Exudative Hemorrhagic Chorioretinopathy |
| title_sort | clinical features and course of patients with peripheral exudative hemorrhagic chorioretinopathy |
| topic | Hemorrhage retinal pigment epithelial detachment age-related macular degeneration |
| url | http://www.oftalmoloji.org/article_11057/Clinical-Features-And-Course-Of-Patients-With-Peripheral-Exudative-Hemorrhagic-Chorioretinopathy |
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