A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal
Purpose: To present a patient with overlapping choriocapillaritis syndromes who first presented as a typical case of multiple evanescent white dot syndrome (MEWDS) and later with characteristic findings compatible with multifocal choroiditis (MFC). Case Report: A 40-year-old myopic woman presented...
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| Format: | Article |
| Language: | English |
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Knowledge E
2012-01-01
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| Series: | Journal of Ophthalmic & Vision Research |
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| Online Access: | http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=1;spage=67;epage=75;aulast=Kuznetcova |
| _version_ | 1811249360872144896 |
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| author | Tatiana Kuznetcova Bruno Jeannin Carl P Herbort |
| author_facet | Tatiana Kuznetcova Bruno Jeannin Carl P Herbort |
| author_sort | Tatiana Kuznetcova |
| collection | DOAJ |
| description | Purpose: To present a patient with overlapping choriocapillaritis syndromes who first presented as a typical case of multiple evanescent white dot syndrome (MEWDS) and later with characteristic findings compatible with multifocal choroiditis (MFC).
Case Report: A 40-year-old myopic woman presented with a paracentral scotoma OS. Fundus examination revealed pale discolored areas around the optic disc corresponding to faintly hyperfluorescent areas on fluorescein angiography (FA). On indocyanine green angiography (ICGA) there was extensive peripapillary hypofluorescence and confluent hypofluorescent dots superiorly. According to the clinical picture, a diagnosis of MEWDS was made. In 4 weeks, the visual field reverted to normal together with almost complete regression of hypofluorescence on ICGA. However, 4 months later fundus examination revealed some scars, a finding not typical for MEWDS. Besides, she developed another scotoma 12 months later accompanied by photopsia and the fundus illustrated more numerous scars than one year earlier. ICGA showed hypofluorescent areas corresponding to the scotoma delineated by visual field testing. The pattern of this recurrence clearly corresponded to MFC.
Conclusion: This case illustrates an overlap between two entities, MEWDS and MFC in two sequential episodes. FA and fundus autofluorescence accounted for the lesions and optical coherence tomography showed damage to the photoreceptor outer segments, but only ICGA correlated well with functional evolution. |
| first_indexed | 2024-04-12T15:45:09Z |
| format | Article |
| id | doaj.art-2bee984224ad42f5aa0c1f5702b3f21b |
| institution | Directory Open Access Journal |
| issn | 2008-322X |
| language | English |
| last_indexed | 2024-04-12T15:45:09Z |
| publishDate | 2012-01-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Journal of Ophthalmic & Vision Research |
| spelling | doaj.art-2bee984224ad42f5aa0c1f5702b3f21b2022-12-22T03:26:40ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2012-01-01716775A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging AppraisalTatiana KuznetcovaBruno JeanninCarl P HerbortPurpose: To present a patient with overlapping choriocapillaritis syndromes who first presented as a typical case of multiple evanescent white dot syndrome (MEWDS) and later with characteristic findings compatible with multifocal choroiditis (MFC). Case Report: A 40-year-old myopic woman presented with a paracentral scotoma OS. Fundus examination revealed pale discolored areas around the optic disc corresponding to faintly hyperfluorescent areas on fluorescein angiography (FA). On indocyanine green angiography (ICGA) there was extensive peripapillary hypofluorescence and confluent hypofluorescent dots superiorly. According to the clinical picture, a diagnosis of MEWDS was made. In 4 weeks, the visual field reverted to normal together with almost complete regression of hypofluorescence on ICGA. However, 4 months later fundus examination revealed some scars, a finding not typical for MEWDS. Besides, she developed another scotoma 12 months later accompanied by photopsia and the fundus illustrated more numerous scars than one year earlier. ICGA showed hypofluorescent areas corresponding to the scotoma delineated by visual field testing. The pattern of this recurrence clearly corresponded to MFC. Conclusion: This case illustrates an overlap between two entities, MEWDS and MFC in two sequential episodes. FA and fundus autofluorescence accounted for the lesions and optical coherence tomography showed damage to the photoreceptor outer segments, but only ICGA correlated well with functional evolution.http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=1;spage=67;epage=75;aulast=KuznetcovaChoriocapillaritis; Multiple Evanescent White Dot Syndrome; Multifocal Choroiditis Indocyanine Green Angiography; Optical Coherence Tomography; Fundus Autofluorescence |
| spellingShingle | Tatiana Kuznetcova Bruno Jeannin Carl P Herbort A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal Journal of Ophthalmic & Vision Research Choriocapillaritis; Multiple Evanescent White Dot Syndrome; Multifocal Choroiditis Indocyanine Green Angiography; Optical Coherence Tomography; Fundus Autofluorescence |
| title | A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal |
| title_full | A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal |
| title_fullStr | A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal |
| title_full_unstemmed | A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal |
| title_short | A Case of Overlapping Choriocapillaritis Syndromes: Multimodal Imaging Appraisal |
| title_sort | case of overlapping choriocapillaritis syndromes multimodal imaging appraisal |
| topic | Choriocapillaritis; Multiple Evanescent White Dot Syndrome; Multifocal Choroiditis Indocyanine Green Angiography; Optical Coherence Tomography; Fundus Autofluorescence |
| url | http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=1;spage=67;epage=75;aulast=Kuznetcova |
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