Detaillierte Beitrags-Information
| Beitragstitel | OCT angiography findings in a case of acute syphilitic posterior placoid chorioretinitis: |
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| Präsentationsform | ePoster |
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| Abstract-Text |
Purpose: To characterize OCT angiography findings in a case of acute syphilitic posterior placoid chorioretinitis: Methods: A 43 years old male patient presented with headaches and multiples episodes of recurrent blurred vision in his right eye. Few days later he observed a central scotoma. No ocular or retro-bulbar pains. No history of diplopia. Clinical examination revealed a reduced visual acuity at 0.3 at the right eye and preserved VA at 1.0 at the left eye, mild inflammatory reaction in the anterior chamber of both eyes. Fundus examination revealed the presence of bilateral papilledema with peripapillary hemorrhages, a yellowish lesion temporal to the optic disc of the right eye was also observed. A Fluorescein and indocyanine green angiography and OCT angiography were performed confirming the presence of vasculitis and papilitis. A cerebral MRI and a lumber puncture were performed excluding the presence of intracranial hypertension. A laboratory work-up revealed positive for syphilitic infection. Results: OCT images and angioOCT angiography could reveal the presence of multiple deep lesions with a honeycomb distribution which are characteristic of posterior placoid chorioretinitis. The same pattern was observed in late stage fluorescein angiographies Conclusions: That’s to say the OCT angiography could be is a very promising tool in the diagnosis of acute syphilitic posterior placoid chorioretinitis, avoiding the patient the hazards of Fluorescein and indocyanine green angiography. |