PUNCTATE INNER CHOROIDOPATHY

Abstract

Background: Punctate inner choroidopathy is a rare disease, which involves the outer retina and inner choroid. The ethiology is still unknown. Patient: The case of a 23-year-old female patient, who noticed a central scotoma on the right eye, is presented. A mild decreased visual acuity of 0,7 was noted and on ophthalmoscopy multiple, yellowish dots on the level of RPE and choroid near the fovea were found. Angiography showed a hyperfluorescence of the dots in the early phase and marked leakage in the late phase. Treatment: Under systemic treatment with corticosteroids the acuity and the fundus changes improved. Two weeks after corticosteroid therapy was finished, a new onset with massive exsudation occurred accompanied by a sudden decrease in vision in her right eye to 0,1. On the last examination a parafoveal suretinal scar was discovered. Conclusion: Punctate inner choroidopathy recurrences are common. However secondary neovascular membranes are described, in general the visual outcome is good.