Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report
Abstract Objective To report a case of Behçet’s disease (BD) presenting as a panuveitis with neuroretinitis and pre-papillary vitreous infiltrate. Material and methods A case report. Results A 43-year-old male presented with severely decreased vision in the left eye. Ophthalmological examination rev...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-07-01
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| Series: | Journal of Ophthalmic Inflammation and Infection |
| Online Access: | https://doi.org/10.1186/s12348-022-00299-x |
| _version_ | 1811218941936140288 |
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| author | Ahmed Mahjoub Nadia Ben Abdesslem Ilhem Sellem Nesrine Zaafrane Anis Mahjoub Fatma Sakji Mohamed Ghorbel Hachemi Mahjoub Wissal Ben Yahia Ahmad Guiga |
| author_facet | Ahmed Mahjoub Nadia Ben Abdesslem Ilhem Sellem Nesrine Zaafrane Anis Mahjoub Fatma Sakji Mohamed Ghorbel Hachemi Mahjoub Wissal Ben Yahia Ahmad Guiga |
| author_sort | Ahmed Mahjoub |
| collection | DOAJ |
| description | Abstract Objective To report a case of Behçet’s disease (BD) presenting as a panuveitis with neuroretinitis and pre-papillary vitreous infiltrate. Material and methods A case report. Results A 43-year-old male presented with severely decreased vision in the left eye. Ophthalmological examination revealed unilateral non granulomatous panuveitis with occlusive retinal vasculitis, neuroretinitis and pre-papillary vitreous infiltrate. Initial swept source OCT revealed a “funnel-shaped” hyperreflective lesion overlying the optic disc corresponding to the pre-papillary vitreous infiltrate associated with optic disc edema and a serous retinal detachment extending to the macula. Examination by an internal medicine specialist revealed buccal aphthous ulcer and pseudofolliculitis lesions. BD diagnosis was made and the patient received corticosteroid and immunosuppressive therapy. The pre-papillary vitreous infiltrate resolution under treatment was documented with repeat swept source OCT. Conclusion Pre-papillary vitreous infiltrate has been rarely reported in the literature. This finding is a typical feature in severe cases of BD uveitis and is usually associated with a neuroretinitis. Optic disc OCT is useful to make the diagnosis and to monitor the resolution of the pre-papillary vitreous infiltrate. |
| first_indexed | 2024-04-12T07:17:38Z |
| format | Article |
| id | doaj.art-cac42b344dde46ce9c73489c6c3caad5 |
| institution | Directory Open Access Journal |
| issn | 1869-5760 |
| language | English |
| last_indexed | 2024-04-12T07:17:38Z |
| publishDate | 2022-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Ophthalmic Inflammation and Infection |
| spelling | doaj.art-cac42b344dde46ce9c73489c6c3caad52022-12-22T03:42:25ZengSpringerOpenJournal of Ophthalmic Inflammation and Infection1869-57602022-07-011211610.1186/s12348-022-00299-xBehçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case reportAhmed Mahjoub0Nadia Ben Abdesslem1Ilhem Sellem2Nesrine Zaafrane3Anis Mahjoub4Fatma Sakji5Mohamed Ghorbel6Hachemi Mahjoub7Wissal Ben Yahia8Ahmad Guiga9Department of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Ophthalmology, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Internal medicine, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseDepartment of Internal medicine, Farhat Hached University Hospital of Sousse, Faculty of Medicine, University of SousseAbstract Objective To report a case of Behçet’s disease (BD) presenting as a panuveitis with neuroretinitis and pre-papillary vitreous infiltrate. Material and methods A case report. Results A 43-year-old male presented with severely decreased vision in the left eye. Ophthalmological examination revealed unilateral non granulomatous panuveitis with occlusive retinal vasculitis, neuroretinitis and pre-papillary vitreous infiltrate. Initial swept source OCT revealed a “funnel-shaped” hyperreflective lesion overlying the optic disc corresponding to the pre-papillary vitreous infiltrate associated with optic disc edema and a serous retinal detachment extending to the macula. Examination by an internal medicine specialist revealed buccal aphthous ulcer and pseudofolliculitis lesions. BD diagnosis was made and the patient received corticosteroid and immunosuppressive therapy. The pre-papillary vitreous infiltrate resolution under treatment was documented with repeat swept source OCT. Conclusion Pre-papillary vitreous infiltrate has been rarely reported in the literature. This finding is a typical feature in severe cases of BD uveitis and is usually associated with a neuroretinitis. Optic disc OCT is useful to make the diagnosis and to monitor the resolution of the pre-papillary vitreous infiltrate.https://doi.org/10.1186/s12348-022-00299-x |
| spellingShingle | Ahmed Mahjoub Nadia Ben Abdesslem Ilhem Sellem Nesrine Zaafrane Anis Mahjoub Fatma Sakji Mohamed Ghorbel Hachemi Mahjoub Wissal Ben Yahia Ahmad Guiga Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report Journal of Ophthalmic Inflammation and Infection |
| title | Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report |
| title_full | Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report |
| title_fullStr | Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report |
| title_full_unstemmed | Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report |
| title_short | Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report |
| title_sort | behcet s disease presenting as neuroretinitis with pre papillary vitreous infiltrate a case report |
| url | https://doi.org/10.1186/s12348-022-00299-x |
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