Leber's Idiopathic Stellate Neuroretinitis with Peripapillary Serous Retinal Detachment.
10.3341/jkos.2011.52.9.1109
- Author:
Dae Heon HAN
1
;
Hee Jin SOHN
;
Dae Young LEE
;
Dong Heun NAM
Author Information
1. Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea. eyedawns@gilhospital.com
- Publication Type:Case Report
- Keywords:
Leber's idiopathic stellate neuroretinitis;
Optical coherence tomography;
Peripapillary serous retinal detachment
- MeSH:
Adult;
Edema;
Exudates and Transudates;
Eye;
Female;
Fluorescein Angiography;
Humans;
Retinal Detachment;
Retinal Hemorrhage;
Retinal Pigment Epithelium;
Retinal Vessels;
Retinaldehyde;
Retinitis;
Tomography, Optical Coherence;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2011;52(9):1109-1113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a patient with Leber's idiopathic stellate neuroretinitis accompanying peripapillary sensory retinal detachment detected with optical coherence tomography. CASE SUMMARY: A 26-year-old woman complained of visual disturbance in her right eye for several months. Her best corrected visual acuity was 0.5 in the right eye and 0.9 in the left eye. A relative afferent papillary defect was present in the right eye. Severe disc swelling with retinal hemorrhage and stellate macular exudates were observed in the right eye. Fluorescein angiography revealed optic disc leakage. There appeared to be no leakage from the other retinal vessels or from the retinal pigment epithelium. OCT revealed outer nuclear-plexiform layer fluid accumulation in the papillomacular region. Eight weeks after steroid treatment, the best corrected visual acuity in the right eye had improved to 0.7, and the optic disc edema had improved. The OCT showed that the fluid in the outer nuclear-plexiform layer space had largely been absorbed.
