ACUTE FOVEALITIS. Issue Volume 16:Issues 2(2022) (March 2022)

• Record Type: Journal Article
• Authors: Ledesma-Gil, Gerardo; Spaide, Richard F.
• Is Part Of: Retinal cases & brief reports. Volume 16:Issues 2(2022)
• Publication Date: 2022-03
• Subjects: acute fovealitis -- acute retinal pigment epithellitis -- OCTA; Retina -- Diseases -- Periodicals; Retina -- Periodicals; Retinal Diseases -- Periodicals; Retina -- Case Reports; Retinal Diseases -- Case Reports; 617.7
• DOI: 10.1097/ICB.0000000000000973
• Languages: English
• ISSNs: 1935-1089

Abstract

Abstract : Purpose: To describe the clinical, optical coherence tomography (OCT), and OCT angiography findings of a patient with a foveal disturbance from the acute phase to the resolution of the visual disturbances. Method: The patient had a comprehensive ophthalmic examination to include OCT and OCT angiography. Results: A 36-year-old man presented with decreased vision and distortion in the right eye. The right eye showed yellow-white punctate opacities in the central fovea. OCT showed numerous, well-defined, globular, aggregated, hyperreflective lesions that corresponded to the visible opacities along with a focal discontinuity of the outer retinal layers. Over 3 weeks, the patient's findings resolved, and the VA improved to 20/20. No abnormalities of the choriocapillaris flow were detected using OCT angiography. The lesion resolved without pigmentary change. Conclusion: The configuration of the hyperreflective deposits, the lack of pigmentary change, and the absence of OCT angiographic findings of flow problems in the choriocapillaris argue against a primary retinal pigment epithelial or choriocapillaris abnormality as the fundamental cause of the disease. The name acute fovealitis is suggested. Abstract : A patient presented with a condition suggesting acute retinal pigment epitheliitis but with features that differentiated it as a novel disease.