Punctate inner choroidopathy in a young Filipino female: A case report
- Author:
Edmin Michael G. Santos
1
Author Information
- Publication Type:Case Reports
- Keywords: choroidal neovascular membrane; spectral domain optical coherence tomography; OCT angiography
- MeSH: punctate inner choroidopathy
- From: Acta Medica Philippina 2023;57(2):68-71
- CountryPhilippines
- Language:English
- Abstract: A 30-year-old, monocular myopic female consulted for new onset scotoma on her left eye. Best corrected visual acuity was 20/20 for the left eye. Fundus exam revealed a hypopigmented lesion in the inferior juxtafoveal area with no overlying vitreous reaction/opacity. Spectral domain optical coherence tomography (SD-OCT) showed focal disruption and elevation of the inner choroid and retinal pigment epithelium (RPE), indicating punctate inner choroidopathy (PIC). OCT angiography (OCT-A) revealed the presence of a choroidal neovascular membrane (CNV) on RPE-RPE fit segmentation. The CNV and lesion resolved upon treatment with one intravitreal bevacizumab injection and oral prednisone 60 mg (1.2 mg/kg body weight) per day tapering over 2 months. This is the first reported case of PIC in a Filipino that was diagnosed and treated with the guidance of high-resolution SD-OCT and OCT-A. These diagnostic tests proved useful in identifying the lesions based on cross-sectional views of the retina, RPE and choroid.
- Full text:Punctate Inner Choroidopathy in a Young Filipino Female A Case Report.pdf
