Posters

Neuro chorioretinitis: to be or not to be

Poster Details

First Author: B.Inna ROMANIA

Co Author(s): N. Nastase   A. Amariei   D. Adib   R. Pirvulescu   R. Iancu        

Abstract Details

Purpose:

The paper investigates a young pacient with minimal symptomatology and multiple chorioretinian focars in the posterior pole.

Setting:

A 31 years old male was admitted to our clinic due to distorted vision, sparks and flashes of light sensations that started a month prior. He was diagnosed with left eye neuro-chorioretinitis and further investigation was required to discover the etiology.

Methods:

Visual acuity of the LE was 1 sc, the intraocular pressure was normal and visual field revealed decreased paracentral retinal sensitivity. Fundus examination showed papilla with faded contour, a parafoveal subretinal hemorrhage of approximately 1 papillary diameter, soft exudates on the superior and inferior temporal vascular arches and numerous upper and lower paramacular circinate exudates. Angiofluorography revealed 2 chorioretinian focar lesions, the superior one, which was older and the inferior one more recently constituted and a juxtapapillary lesion with choroidal rupture and neovascularization. The patient was diagnosed with neuro-chorioretinitis and was additionally investigated to discover the cause.

Results:

Serological and immunological tests were performed for the most frequent causes, which were negative. The patient was tested for cardiac, rheumatic and infectious diseases, with normal results. He was treated with oral carbonic anhydrase inhibitors and vitamin C with slow, favorable evolution in the resolution of the hemorrhage and the decrease in size of the lesions.

Conclusions:

The neuro-chorioretinitis is a disease with a wide range of etiologies, which makes the basic pathology difficult to discover and therefore with no specific therapeutic protocol.

Financial Disclosure:

None