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Infrared imaging of choroidal involvement in Leber's idiopathic stellate neuroretinitis.

Vinci M, Fossarello M, Peiretti E - Clin Ophthalmol (2011)

Bottom Line: Tests of best-corrected visual acuity, optical coherence tomography, infrared (IR) filter, fluorescein, and indocyanine green angiography were performed at the follow-up.In this observation, we reported that choroidal involvement may occur in LIN.The IR filter is an important and noninvasive tool able to distinguish and follow choroidal infiltrates to better delineate the pathological process and elucidate the nature of the disease.

View Article: PubMed Central - PubMed

Affiliation: Eye Clinic University of Cagliari, Department of Surgical Sciences and Odontostomatology, Cagliari, Italy.

ABSTRACT

Purpose: Leber's idiopathic stellate neuroretinitis (LIN) is a rare condition that has been always considered an inflammatory disease, with emphasis given to the optic disc and neuroretina alterations.

Methods: A healthy 54-year-old woman presented a sudden loss of vision in the left eye, referring to periocular pain, headache, and mild fever for 1 month. Tests of best-corrected visual acuity, optical coherence tomography, infrared (IR) filter, fluorescein, and indocyanine green angiography were performed at the follow-up.

Results: The patient submitted to IR imaging, which revealed diffuse patchy choroidal infiltrates involving the posterior pole midperiphery, which were still present after 3 years of follow-up.

Conclusion: In this observation, we reported that choroidal involvement may occur in LIN. The IR filter is an important and noninvasive tool able to distinguish and follow choroidal infiltrates to better delineate the pathological process and elucidate the nature of the disease.

No MeSH data available.


Related in: MedlinePlus

Infrared montage of the left eye showing the optic disc surrounded by small exudates and choroidal lesions in the posterior pole midperiphery.
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f2-opth-5-999: Infrared montage of the left eye showing the optic disc surrounded by small exudates and choroidal lesions in the posterior pole midperiphery.

Mentions: RE fundus examination was normal (Figure 1A) and the LE revealed significant edema of the optic disc with retinal infiltrates at the posterior pole and a characteristic macular star from yellow exudates (Figure 1B). IR imaging (Heidelberg HRA, wavelength 830 nm) showed some optic disc edema surrounded by subretinal fluid, and diffuse, patchy, choroidal infiltrates involving the posterior pole midperiphery ( Figure 2) otherwise invisible on ophthalmoscopy.


Infrared imaging of choroidal involvement in Leber's idiopathic stellate neuroretinitis.

Vinci M, Fossarello M, Peiretti E - Clin Ophthalmol (2011)

Infrared montage of the left eye showing the optic disc surrounded by small exudates and choroidal lesions in the posterior pole midperiphery.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3141865&req=5

f2-opth-5-999: Infrared montage of the left eye showing the optic disc surrounded by small exudates and choroidal lesions in the posterior pole midperiphery.
Mentions: RE fundus examination was normal (Figure 1A) and the LE revealed significant edema of the optic disc with retinal infiltrates at the posterior pole and a characteristic macular star from yellow exudates (Figure 1B). IR imaging (Heidelberg HRA, wavelength 830 nm) showed some optic disc edema surrounded by subretinal fluid, and diffuse, patchy, choroidal infiltrates involving the posterior pole midperiphery ( Figure 2) otherwise invisible on ophthalmoscopy.

Bottom Line: Tests of best-corrected visual acuity, optical coherence tomography, infrared (IR) filter, fluorescein, and indocyanine green angiography were performed at the follow-up.In this observation, we reported that choroidal involvement may occur in LIN.The IR filter is an important and noninvasive tool able to distinguish and follow choroidal infiltrates to better delineate the pathological process and elucidate the nature of the disease.

View Article: PubMed Central - PubMed

Affiliation: Eye Clinic University of Cagliari, Department of Surgical Sciences and Odontostomatology, Cagliari, Italy.

ABSTRACT

Purpose: Leber's idiopathic stellate neuroretinitis (LIN) is a rare condition that has been always considered an inflammatory disease, with emphasis given to the optic disc and neuroretina alterations.

Methods: A healthy 54-year-old woman presented a sudden loss of vision in the left eye, referring to periocular pain, headache, and mild fever for 1 month. Tests of best-corrected visual acuity, optical coherence tomography, infrared (IR) filter, fluorescein, and indocyanine green angiography were performed at the follow-up.

Results: The patient submitted to IR imaging, which revealed diffuse patchy choroidal infiltrates involving the posterior pole midperiphery, which were still present after 3 years of follow-up.

Conclusion: In this observation, we reported that choroidal involvement may occur in LIN. The IR filter is an important and noninvasive tool able to distinguish and follow choroidal infiltrates to better delineate the pathological process and elucidate the nature of the disease.

No MeSH data available.


Related in: MedlinePlus