Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report

Abstract Background Pigmented paravenous retinochoroidal atrophy (PPRCA) is an uncommon fundus disease characterized by perivenous aggregations of pigment clumps and retinochoroidal atrophy distributed along the retinal veins. We report a Chinese female case of unilateral PPRCA with acute angle-clos...

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Main Authors: Kun Lv, Zhiqiao Liang, Kangyi Yang, Xuanzhu Chen, Yao Ma, Huijuan Wu
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-023-02922-4
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author Kun Lv
Zhiqiao Liang
Kangyi Yang
Xuanzhu Chen
Yao Ma
Huijuan Wu
author_facet Kun Lv
Zhiqiao Liang
Kangyi Yang
Xuanzhu Chen
Yao Ma
Huijuan Wu
author_sort Kun Lv
collection DOAJ
description Abstract Background Pigmented paravenous retinochoroidal atrophy (PPRCA) is an uncommon fundus disease characterized by perivenous aggregations of pigment clumps and retinochoroidal atrophy distributed along the retinal veins. We report a Chinese female case of unilateral PPRCA with acute angle-closure glaucoma (AACG). Case presentation A 50-year-old Chinese female presented with vision loss and elevated intraocular pressure (IOP) in the right eye and then underwent trabeculectomy. She referred to our clinic for further evaluation and treatment. The funduscopic examination revealed grayish retinochoroidal atrophy and osteocyte-like pigment clumping lesions along the retinal veins and peripapillary preretinal hemorrhage in the right eye. The patient also presented with AACG in the same eye on the basis of past medical history of acute attack, shallow anterior chamber depth (ACD), narrow angle showed by ultrasound biomicroscopy (UBM) and glaucomatous neuropathy identified by optical coherence tomography (OCT). Other examinations like fluorescein fundus angiography (FFA), electroretinogram (ERG) and electrooculography (EOG) all confirmed the aforementioned diagnose. Conclusion PPRCA is a rare disease, uncommon in females and symmetrical in both eyes. We present a rare case of unilateral PPRCA accompanied with AACG.
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spelling doaj.art-8cb009458cd543c9a84029130b536e782023-05-14T11:11:53ZengBMCBMC Ophthalmology1471-24152023-05-012311610.1186/s12886-023-02922-4Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case reportKun Lv0Zhiqiao Liang1Kangyi Yang2Xuanzhu Chen3Yao Ma4Huijuan Wu5Department of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalDepartment of Ophthalmology, Peking University People’s HospitalAbstract Background Pigmented paravenous retinochoroidal atrophy (PPRCA) is an uncommon fundus disease characterized by perivenous aggregations of pigment clumps and retinochoroidal atrophy distributed along the retinal veins. We report a Chinese female case of unilateral PPRCA with acute angle-closure glaucoma (AACG). Case presentation A 50-year-old Chinese female presented with vision loss and elevated intraocular pressure (IOP) in the right eye and then underwent trabeculectomy. She referred to our clinic for further evaluation and treatment. The funduscopic examination revealed grayish retinochoroidal atrophy and osteocyte-like pigment clumping lesions along the retinal veins and peripapillary preretinal hemorrhage in the right eye. The patient also presented with AACG in the same eye on the basis of past medical history of acute attack, shallow anterior chamber depth (ACD), narrow angle showed by ultrasound biomicroscopy (UBM) and glaucomatous neuropathy identified by optical coherence tomography (OCT). Other examinations like fluorescein fundus angiography (FFA), electroretinogram (ERG) and electrooculography (EOG) all confirmed the aforementioned diagnose. Conclusion PPRCA is a rare disease, uncommon in females and symmetrical in both eyes. We present a rare case of unilateral PPRCA accompanied with AACG.https://doi.org/10.1186/s12886-023-02922-4Pigmented paravenous retinochoroidal atrophyAcute angle-closure glaucomaUnilateral
spellingShingle Kun Lv
Zhiqiao Liang
Kangyi Yang
Xuanzhu Chen
Yao Ma
Huijuan Wu
Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report
BMC Ophthalmology
Pigmented paravenous retinochoroidal atrophy
Acute angle-closure glaucoma
Unilateral
title Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report
title_full Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report
title_fullStr Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report
title_full_unstemmed Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report
title_short Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report
title_sort unilateral pigmented paravenous retinochoroidal atrophy with acute angle closure glaucoma a case report
topic Pigmented paravenous retinochoroidal atrophy
Acute angle-closure glaucoma
Unilateral
url https://doi.org/10.1186/s12886-023-02922-4
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