Central serous chorioretinopathy and angioid streaks: coincidental?

Autor: Penas SC; Ophthalmology Department, Centro Hospitalar Universitário de São João, E.P.E., Alameda Professor Hernâni Monteiro, 4200-319, Porto, Portugal. susanaapenas@gmail.com.; Faculty of Medicine of University of Porto, Porto, Portugal. susanaapenas@gmail.com., Resende JA; Ophthalmology Department, Clínica Médica Arrifana de Sousa, Penafiel, Portugal., Sousa AR; Ophthalmology Department, Centro Hospitalar Universitário de São João, E.P.E., Alameda Professor Hernâni Monteiro, 4200-319, Porto, Portugal.; Faculty of Medicine of University of Porto, Porto, Portugal., Carneiro ÂV; Ophthalmology Department, Centro Hospitalar Universitário de São João, E.P.E., Alameda Professor Hernâni Monteiro, 4200-319, Porto, Portugal.; Faculty of Medicine of University of Porto, Porto, Portugal., Reis FF; Ophthalmology Department, Centro Hospitalar Universitário de São João, E.P.E., Alameda Professor Hernâni Monteiro, 4200-319, Porto, Portugal.; Faculty of Medicine of University of Porto, Porto, Portugal.
Jazyk: angličtina
Zdroj: BMC ophthalmology [BMC Ophthalmol] 2022 Sep 05; Vol. 22 (1), pp. 359. Date of Electronic Publication: 2022 Sep 05.
DOI: 10.1186/s12886-022-02566-w
Abstrakt: Background: To report an unusual case of central serous chorioretinopathy in a patient with angioid streaks.
Case Presentation: The authors describe a case report of a 26-year old male patient presenting acute scotoma and metamorphopsia in OD. He had been diagnosed with angioid streaks complicated with choroidal neovascularization and referred to us for treatment. The patient presented an ETDRS score of 85 letters (20/20) in OD and in OS. The anterior segment examination was unremarkable. Fundoscopy revealed bilateral angioid streaks (AS) and peau d'orange, as well as a small neurosensory retinal detachment in the macula of OD. A multimodal retinal analysis, including fundus photography, infra-red and fundus autofluorescence imaging, spectral-domain optical coherence tomography, optical coherence tomography angiography, fluorescein and indocyanine green angiography was performed. The diagnosis of central serous chorioretinopathy was made in the absence of any identifiable choroidal neovascularization. He was submitted to half-dose photodynamic therapy with verteporfin. One month later, he reported no visual complaints, his vision was 85 letters (20/20) in OD and a complete resolution of the sub-retinal fluid was registered. No signs of choroidal neovascularization were detected on the optical coherence tomography angiography (OCTA). A complete medical workup evaluation was made to exclude systemic diseases usually associated with AS.
Conclusions: To the authors' knowledge, this is the second reported case of CSC associated with angioid streaks. The focal abnormalities in the Bruch's membrane and the irregular vascular choriocapillary network associated with AS might predispose to CSC.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz: