Fibrotic pillar leads to focal choroidal excavation in Best vitelliform dystrophy

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Vinod Kumar, Karthik Chatra

Abstract

To study focal choroidal excavations in patients with Best vitelliform dystrophy using optical coherence tomography and their topographical relation with fibrotic pillars. This is a retrospective cross-sectional study of consecutive patients diagnosed with Best vitelliform dystrophy at a tertiary eye care center. Records of patients with Best vitelliform dystrophy were reviewed for best-corrected visual acuity, color fundus photographs, shortwave autofluorescence, optical coherence tomography, and electrooculogram with special emphasis on the presence of focal choroidal excavation (FCE) and fibrotic pillar. Main outcome measure was to study the fibrotic pillar in relation to the FCE. Thirty-eight eyes of 19 patients with mean age of 34.6 years were enrolled in the study. FCE was seen in eight eyes of six patients. Two patients had bilateral FCE and all the FCEs were located in the area of vitelliform lesion. Six out of eight eyes with FCE were in vitelliruptive stage of disease; one was in pseudohypopyon stage and one in atrophic stage. A fibrotic pillar was seen lying directly above the FCE in seven eyes. In one eye, hyper-reflective material not amounting to fibrotic pillar was seen lying above the FCE. A focal choroidal exca...Continue Reading

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Citations

Nov 11, 2019·The British Journal of Ophthalmology·Najiha RahmanMichel Michaelides
Sep 29, 2020·Clinical Ophthalmology·Sandra NassarDavid J Browning
Aug 14, 2020·The British Journal of Ophthalmology·Saurabh VermaPradeep Venkatesh
Dec 12, 2020·International Journal of Molecular Sciences·Karsten HufendiekUlrich Kellner
Nov 12, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Hyo Jin SeongChristopher Seungkyu Lee

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