دورية أكاديمية
Spectral domain optical coherence tomography findings in acute syphilitic posterior placoid chorioretinitis.
العنوان: | Spectral domain optical coherence tomography findings in acute syphilitic posterior placoid chorioretinitis. |
---|---|
المؤلفون: | Burkholder BM; The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, 1800 Orleans St, Woods 476, Baltimore, MD 21287, USA. bryn@alumni.duke.edu., Leung TG, Ostheimer TA, Butler NJ, Thorne JE, Dunn JP |
المصدر: | Journal of ophthalmic inflammation and infection [J Ophthalmic Inflamm Infect] 2014 Jan 27; Vol. 4 (1), pp. 2. Date of Electronic Publication: 2014 Jan 27. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 101553216 Publication Model: Electronic Cited Medium: Print ISSN: 1869-5760 (Print) Linking ISSN: 18695760 NLM ISO Abbreviation: J Ophthalmic Inflamm Infect Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Berlin : Springer |
مستخلص: | Background: We describe the spectral domain optical coherence tomography (SD-OCT) findings in three patients with acute syphilitic posterior placoid chorioretinitis (ASPPC). The SD-OCT images demonstrate the pathologic changes in ASPPC with a high level of anatomic detail and may provide information about the pathophysiology of the disease. Findings: We report a series of three consecutive patients seen at the Wilmer Eye Institute in 2012 and 2013 who presented with clinical and laboratory findings consistent with a diagnosis of unilateral ASPPC. Two of the three patients had HIV co-infection with good immune recovery. SD-OCT images from their initial (pre-treatment) presentation demonstrated thickening and hyperreflective nodularity of the choroid-retinal pigment epithelium (RPE) complex, with focal disruption of the overlying photoreceptor inner segment-outer segment junction in the areas corresponding to the retinal lesions seen on clinical examination. These changes improved with intravenous antibiotic treatment over a 3-month period of follow-up. Conclusions: SD-OCT imaging in ASPPC demonstrates reversible, focal thickening, and nodularity of the RPE with disruption of the overlying photoreceptor inner segment-outer segment junction. We believe that these SD-OCT images support the concept that ASPPC involves an inflammatory process at the level of the choroid-RPE with resultant structural and functional changes in the retinal photoreceptors. Further study with OCT imaging may be helpful in better understanding this disease. |
References: | Am J Ophthalmol. 1988 Mar 15;105(3):271-6. (PMID: 3344784) Am J Ophthalmol. 2003 Jun;135(6):891-4. (PMID: 12788134) Korean J Ophthalmol. 2009 Jun;23(2):108-11. (PMID: 19568360) Clin Ophthalmol. 2008 Sep;2(3):669-73. (PMID: 19668773) Eye (Lond). 2007 Aug;21(8):1114-9. (PMID: 17024225) Am J Ophthalmol. 2003 Mar;135(3):362-7. (PMID: 12614755) Retina. 2014 Feb;34(2):373-84. (PMID: 23860561) Retina. 2012 Oct;32(9):1915-41. (PMID: 22863970) Arq Bras Oftalmol. 2009 Nov-Dec;72(6):832-5. (PMID: 20098910) Retin Cases Brief Rep. 2007 Summer;1(3):123-7. (PMID: 25390772) Ophthalmology. 1990 Oct;97(10):1288-97. (PMID: 2243679) |
تواريخ الأحداث: | Date Created: 20140129 Date Completed: 20140210 Latest Revision: 20220331 |
رمز التحديث: | 20240829 |
مُعرف محوري في PubMed: | PMC3917537 |
DOI: | 10.1186/1869-5760-4-2 |
PMID: | 24468306 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1869-5760 |
---|---|
DOI: | 10.1186/1869-5760-4-2 |