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Findings by spectral domain optical coherence tomograph in a case of punctate inner choroidopathy before and after systemic corticosteroid therapy Akiko Iwasaki 1 , Tsutomu Sakai 1 , Hiroshi Tsuneoka 1 1Dept of Ophthalmol, Jikei Univ Sch of Med pp.1003-1008
Published Date 2014/7/15
DOI https://doi.org/10.11477/mf.1410105310
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Abstract. Purpose:To report a case of punctate inner choroidopathy followed up by spectral domain optical coherence tomograph(SD-OCT). Case:A 38-year-old female presented with metamorphopsia since 3 weeks before. She had had high myopia and received phakic intraocular lens implantation 2 years before. Findings:Corrected visual acuity was 1.5 right and 0.2 left. The right eye was free of pathological findings. The left eye showed numerous white patches with distinct margin in the central fundus. SD-OCT showed indistinct inner segment ellipsoids, multiple areas of pronounced reflex of the retinal outer layer, increased reflex of the inner choroid, and increased thickness of the choroid. Fluorescein angiography showed findings compatible with the diagnosis of punctate inner choroidopathy. Treatment with peroral prednisolone was followed by visual acuity of 0.8 two months later and by improvement in retinal and choroidal findings of SD-OCT. Conclusion:Punctate inner choroidopathy may be associated with inflammation in the outer retina and the inner choroid.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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