Pederzolli M, Sacconi R, Battista M, Bandello F, Querques G. Bilateral choroidal caverns in a child with pachychoroid and anxious personality.
Am J Ophthalmol Case Rep 2022;
26:101505. [PMID:
35372710 PMCID:
PMC8968018 DOI:
10.1016/j.ajoc.2022.101505]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 03/15/2022] [Accepted: 03/20/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose
To report a case of a 7-year-old male patient with bilateral choroidal caverns (CC) and pachychoroid.
Observations
During the Italian COVID-19 lockdown, a 7-year old boy presented with bilateral vision decline that had started two weeks before. Structural optical coherence tomography revealed pachychoroid and CC bilaterally. Other ocular examinations were negative. The patient had an apprehensive personality and symptoms quickly resolved when he was provided with non-prescription glasses; his visual disturbances were thus considered to be functional and factitious.
Conclusions and Importance
Our patient's symptoms remind us that the distress imposed upon psychologically frail subjects by the COVID-19 pandemic may have multifaceted manifestations. The discovery of CC in a pediatric patient with healthy eyes presents us with new questions about the processes of degeneration thought to be the cause for CC. Further studies are needed to estimate the prevalence of CC in the general adult and pediatric populations, as well as in patients with chorioretinal diseases.
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