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Lv K, Liang Z, Yang K, Chen X, Ma Y, Wu H. Unilateral pigmented paravenous retinochoroidal atrophy with acute angle-closure glaucoma: a case report. BMC Ophthalmol 2023; 23:202. [PMID: 37158871 PMCID: PMC10169484 DOI: 10.1186/s12886-023-02922-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 04/14/2023] [Indexed: 05/10/2023] Open
Abstract
BACKGROUND Pigmented paravenous retinochoroidal atrophy (PPRCA) is an uncommon fundus disease characterized by perivenous aggregations of pigment clumps and retinochoroidal atrophy distributed along the retinal veins. We report a Chinese female case of unilateral PPRCA with acute angle-closure glaucoma (AACG). CASE PRESENTATION A 50-year-old Chinese female presented with vision loss and elevated intraocular pressure (IOP) in the right eye and then underwent trabeculectomy. She referred to our clinic for further evaluation and treatment. The funduscopic examination revealed grayish retinochoroidal atrophy and osteocyte-like pigment clumping lesions along the retinal veins and peripapillary preretinal hemorrhage in the right eye. The patient also presented with AACG in the same eye on the basis of past medical history of acute attack, shallow anterior chamber depth (ACD), narrow angle showed by ultrasound biomicroscopy (UBM) and glaucomatous neuropathy identified by optical coherence tomography (OCT). Other examinations like fluorescein fundus angiography (FFA), electroretinogram (ERG) and electrooculography (EOG) all confirmed the aforementioned diagnose. CONCLUSION PPRCA is a rare disease, uncommon in females and symmetrical in both eyes. We present a rare case of unilateral PPRCA accompanied with AACG.
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Affiliation(s)
- Kun Lv
- Department of Ophthalmology, Peking University People's Hospital, Beijing, China
- Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, China
| | - Zhiqiao Liang
- Department of Ophthalmology, Peking University People's Hospital, Beijing, China
- Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, China
| | - Kangyi Yang
- Department of Ophthalmology, Peking University People's Hospital, Beijing, China
- Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, China
| | - Xuanzhu Chen
- Department of Ophthalmology, Peking University People's Hospital, Beijing, China
- Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, China
| | - Yao Ma
- Department of Ophthalmology, Peking University People's Hospital, Beijing, China
- Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, China
| | - Huijuan Wu
- Department of Ophthalmology, Peking University People's Hospital, Beijing, China.
- Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, China.
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Alba-Linero C, Barberi GE, Llorens V, Socorro Alforja Castella M, Adán A. Multimodal image characterization of paravenous atrophy. GMS OPHTHALMOLOGY CASES 2019; 9:Doc27. [PMID: 31355125 PMCID: PMC6637453 DOI: 10.3205/oc000116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Objective: The objective is to describe a clinical case of paravenous atrophy using a multimodal image. Methods: A 48-year-old man was visited and followed in the ophthalmology department of Hospital Clinic (Barcelona). Visual acuity, slit-lamp exam, retinography, autofluorescence, visual field, optical coherence tomography, and electrophysiology test were performed. Results: The patient had a history of Behcet's disease. Autofluorescence revealed hypoautofluorescence at the paravenous region, th visual field was also altered and electrophysiologic test were reduced. Conclusion: Paravenous atrophy is a rare entity not well described currently. Patients are frequently misdiagnosed. Multimodal image could help to characterize this condition properly and improve the management.
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Affiliation(s)
- Carmen Alba-Linero
- Clinic Institute of Ophthalmology, Clinic Hospital of Barcelona, Spain,*To whom correspondence should be addressed: Carmen Alba-Linero, Clinic Institute of Ophthalmology, Clinic Hospital of Barcelona, Sabino Arana 1, PC 08028, Barcelona, Spain, E-mail:
| | - Glenda Espinosa Barberi
- Ophthalmology Department, Doctor Negrín University Hospital, Las Palmas de Gran Canaria, Spain
| | - Victor Llorens
- Clinic Institute of Ophthalmology, Clinic Hospital of Barcelona, Spain
| | | | - Alfredo Adán
- Clinic Institute of Ophthalmology, Clinic Hospital of Barcelona, Spain
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Park HS, Yang JY, Park HJ. A Case of Unilateral Focal Pigmented Paravenous Retinochoroidal Atrophy. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2018. [DOI: 10.3341/jkos.2018.59.12.1190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Hyo Song Park
- Siloam Eye Hospital, Seoul, Korea
- The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea
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