Pigmented paravenous retinochoroidal atrophy associated with Vogt-Koyanagi-Harada disease: a case report

被引：4

作者：

Ramtohul, Prithvi ^{[1
]}

Comet, Alban ^{[1
]}

Gascon, Pierre ^{[1
]}

Denis, Daniele ^{[1
]}

机构：

[1] Hop Nord Marseille, Ctr Hosp Univ, Chemin Bourrely, F-13015 Marseille, France

来源：

BMC OPHTHALMOLOGY | 2020年 / 20卷 / 01期

关键词：

Pigmented paravenous retinochoroidal atrophy; Retinitis pigmentosa; Spectral domain optical coherence tomography; Vogt-Koyanagi-Harada; CHORIORETINAL ATROPHY;

D O I：

10.1186/s12886-020-1318-4

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Background To describe a unique case of pigmented paravenous retinochoroidal atrophy that developed several years after Vogt-Koyanagi-Harada disease. Case presentation A 28-year-old woman presented with gradual vision loss in both eyes and nyctalopia for 2 years. Past medical history was relevant for Vogt-Koyanagi-Harada disease since the age of 19 and positive HLA-DR4. Funduscopic examination revealed perivascular pigmentary clumping and atrophic changes radiating from the optic disks. Spectral domain optical coherence tomography through the macula demonstrated perifoveal outer retinal layers loss with cystic degeneration. Fundus autofluorescence showed zonal areas of hypoautofluorescence corresponding to the areas of atrophy. Full-field electroretinogram identified mildly reduced scotopic and photopic responses. The patient was diagnosed with pigmented paravenous retinochoroidal atrophy. Conclusions Pigmented paravenous retinochoroidal atrophy may be acquired after Vogt-Koyanagi-Harada disease. Pathogenesis of pigmented paravenous retinochoroidal atrophy may involve inflammatory-related precursors on a background of genetic predisposition.

引用

页数：4

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