To describe a case of rubella retinopathy complicated by bilateral choroidal neovascularization (CNV) and late development of large choroidal excavation (LCE).
A 19-year-old woman with a diagnosis of rubella retinopathy underwent her annual ophthalmologic examination, including visual acuity testing and slit-lamp biomicroscopy with dilated fundus examination. Color fundus photography, spectral-domain optical coherence tomography (SD-OCT) scans, and optical coherence tomography angiography were acquired to complete the investigation of her ocular condition. The main findings are described in this case report.
This woman came to our attention in 2010 with a history of rubella retinopathy, complicated by bilateral CNV and treated with photodynamic therapy (PDT) in 2006. After 6 years of annual follow-up examinations, her visual acuity remained stable in both eyes (20/100), whereas SD-OCT scans uncovered the development of a bilateral LCE in the macular area, associated with a macular hole in the right eye. Optical coherence tomography angiography revealed a vascular network surrounding the choroidal excavation.
Large choroidal excavation is a rare finding that has been described in few chorioretinal diseases, e.g., North Carolina macular dystrophy and toxoplasmosis. We propose to include rubella retinopathy complicated by CNV in the differential diagnosis of LCE, although we recognize the possibility that PDT might have induced or facilitated its formation.
Post author correction
Article Type: CASE REPORT
Article Subject: Retina MED
AuthorsMaurizio Battaglia Parodi, Francesco Romano, Marco Montagna, Francesco Bandello
- • Accepted on 28/09/2017
- • Available online on 17/10/2017
This article is available as full text PDF.
- Battaglia Parodi, Maurizio [PubMed] [Google Scholar]
- Romano, Francesco [PubMed] [Google Scholar] , * Corresponding Author (email@example.com)
- Montagna, Marco [PubMed] [Google Scholar]
- Bandello, Francesco [PubMed] [Google Scholar]
Department of Ophthalmology, Vita-Salute University, Ospedale San Raffaele, Milan - Italy