PRESUMED FOVEAL BACILLARY LAYER DETACHMENT IN A PATIENT WITH TOXOPLASMOSIS CHORIORETINITIS AND PACHYCHOROID DISEASE.

Retinal Cases & Brief Reports
Nitish MehtaYasha Modi

Abstract

To report a detachment that apparently separated photoreceptor inner segment myoids from inner segment ellipsoids as a manifestation of toxoplasmosis chorioretinitis in a patient with pachychoroid spectrum disease. Multimodal imaging including fundus photography, spectral domain and enhanced-depth imaging optical coherence tomography (OCT), indocyanine green angiography, and OCT angiography. A 33-year-old man with a history of toxoplasmosis chorioretinitis reported 1 week of decreased vision to 20/200 in his right eye. Examination of the right eye demonstrated mild vitritis with recurrent chorioretinitis inferior to the fovea and adjacent to a chorioretinal scar. A dome-shaped, foveal photoreceptor layer-splitting detachment was noted on OCT. Because degenerating cone photoreceptors are capable of shedding their inner segments, we inferred the location of the detachment at the level of the inner segment myoid and provided a histological example of such from an unrelated donor case. In addition, multimodal imaging revealed dilated choroidal veins (pachyvessels) with attenuation of the inner choroid in both eyes and asymptomatic findings of central serous chorioretinopathy in the left eye. After 1 month of antibiotic and steroid ...Continue Reading

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Citations

Nov 6, 2018·Clinical & Experimental Ophthalmology·Jiwon BaekWon Ki Lee
Feb 23, 2019·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Kemal Tekin, Mehmet Yasin Teke
Jun 8, 2019·Investigative Ophthalmology & Visual Science·J Alan GambrilChristine A Curcio
Jul 25, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Mark P BreazzanoLawrence A Yannuzzi
Aug 23, 2020·Indian Journal of Ophthalmology·Ashish MarkanAniruddha Agarwal
Sep 26, 2020·Ocular Immunology and Inflammation·Aniruddha AgarwalVishali Gupta
Mar 30, 2020·Retina·Emmett T Cunningham, Ramana S Moorthy
May 12, 2021·Ocular Immunology and Inflammation·Ramesh VenkateshChaitra Jayadev
Jun 26, 2021·Retinal Cases & Brief Reports·Carolina R HilgertRaul N G Vianna
Nov 7, 2021·American Journal of Ophthalmology·Dante Akira Kondo KuroiwaCaio Vinicius Saito Regatieri

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