| Popis: |
PURPOSE To report a novel presentation of bilateral paracentral acute middle maculopathy (PAMM) and peripheral vascular occlusions in Behcet's disease (BD). METHODS A retrospective case report with multimodal imaging studies of a patient with BD. RESULTS A 58-year-old Chinese man presented with a paracentral scotoma, fever, arthralgias and skin rash. HLA typing revealed HLA-B51 positivity. Ophthalmic examination showed peripheral retinal hemorrhages and fluorescence angiography (FA) demonstrated vascular occlusions in the peripheral retina bilaterally. Optical coherence tomography (OCT) showed classic acute PAMM lesions in both eyes. CONCLUSIONS PAMM and peripheral vascular occlusion are infrequent and unconventional presentations of BD. To the best of our knowledge, this is the first report in the ophthalmic literature of PAMM and peripheral vascular occlusion in BD. |
