Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"

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Choroidal Neovascularization after „Punctate iInner Choroidopthy“ in a Case of Posterior Uveitis

Bartram M., Hoffmann S., Wiedemann P., Kohen L.
Department of Ophthalmology, University of Leipzig

Purpose: Punctate inner choroidopathy (PIC) is a seldom idiopathic disease of the uvea, affecting typically young myopic females. Mostly both eyes are involved with a different chronological beginning.
Results: A 53 year old female patient was presented to our hospital because of vision disturbance. The vision disturbance persisted since November of 2002 and involved at first the right eye and later the left eye. In addition, horizontal double vision was reported since January 2002 but no metamorphopsias or micropsias. At presentation, the anterior eye segment was without pathologies but funduscopy showed sharply demarcated, yellowish infiltrates of the choroidea. No vitritis was seen on examination. A fluorescence angiography showed a hyperfluorescent staining pattern because of RPE window defects on both eyes and a classic, parafoveolar choroidal neovascularization on the left eye. No systemic diseases or infections were found. Because of the angiography and the typical clinical picture, we diagnosed a “punctate inner choroidopathy” as the reason of the uveitis and a choroidal neovascularization of the left eye. A laserkoagulation was performed successfully to treat the choroidal neovsacularization of the left eye.
Conclusions: A choroidal neovascularization is a possible complication of a PIC. In contrast to the missing treatment of the PIC, its complication, the chor

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