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Neovascular Maculopathy Associated with Rubella Retinopathy
697
ABSTRACTS
Kazuhiko Ukai,† Yuuki Hayakawa,* Mineo Takagi,*§ Atsushi Shiratori,* Norio Ishikawa,‡ Hiruma Hasebe,* Ritsuko Takada,* Tomoaki Usui,* Shigeru Hasegawa* and Haruki Abe* *Department of Ophthalmology, Niigata University School of Medicine; †Faculty of Social and Information Sciences, Nihon Fukushi University; ‡Nihon Kohden Corporation; § CREST, JST (Japan Science and Technology) PII S0021-5155(00)00265-3
Neovascular Maculopathy Associated with Rubella Retinopathy Background: We report three eyes of two patients with rubella retinopathy which were associated with choroidal neovascularization in the macula. Cases: A 7-year-old girl (case 1) and a 12-year-old girl (case 2) whose mothers had suffered rubella during their pregnancy revealed typical rubella retinopathy in both eyes and neovascular maculopathy in one eye at their initial visit to our clinic. Neovascular maculopathy developed in another eye of case 1 after a follow-up of 10 months. Results: The clinical characteristics indicated that (1) sudden visual loss occurs in children, (2) there is no external trigger such as eye injury, and (3) the visual prognosis appears relatively good. Conclusion: Although neovascular maculopathy is rare in pediatric disease, the rubella retinopathy may have the potential to cause neovascular maculopathy. (J Jpn Ophthalmol Soc 104:431–436, 2000) Keiji Hirano, Atsuhiro Tanikawa and Yozo Miyake
Department of Ophthalmology, Nagoya University School of Medicine PII S0021-5155(00)00266-5
Choroidal Tuberculoma in a Patient with Acquired Immunodeficiency Syndrome Background: In Japan, since the introduction of antituberculosis chemotherapy, the typical choroidal tuberculoma has been considered uncommon. A patient with acquired immunodeficiency syndrome (AIDS), because of the suppression of cell mediated immunity, faces the risk of tuberculous infection. Case: A 30-year-old Malayan man had continuous cough for 6 months. He was diagnosed as having miliary tuberculosis of the lung and spine. Because the serum test of human immunodeficiency virus (HIV) was positive, he was also diagnosed as having AIDS. Findings: Fundus examination showed a yellow white swollen lesion of the choroid with distinct border in his right eye, probably caused by tuberculosis. After 3 months of therapy with antituberculosis and anti-HIV drugs, his systemic and ocular findings were markedly improved. Conclusion: Because of the recent increase in the incidence of tuberculosis with the epidemic of HIV prevailing in the world, the recognition of ocular tuberculosis is important. (J Jpn Ophthalmol Soc 104:437–441, 2000). Machiko Shimakawa Department of Ophthalmology, Tokyo Women’s Medical University, School of Medicine PII S0021-5155(00)00267-7
ABSTRACTS
Kazuhiko Ukai,† Yuuki Hayakawa,* Mineo Takagi,*§ Atsushi Shiratori,* Norio Ishikawa,‡ Hiruma Hasebe,* Ritsuko Takada,* Tomoaki Usui,* Shigeru Hasegawa* and Haruki Abe* *Department of Ophthalmology, Niigata University School of Medicine; †Faculty of Social and Information Sciences, Nihon Fukushi University; ‡Nihon Kohden Corporation; § CREST, JST (Japan Science and Technology) PII S0021-5155(00)00265-3
Neovascular Maculopathy Associated with Rubella Retinopathy Background: We report three eyes of two patients with rubella retinopathy which were associated with choroidal neovascularization in the macula. Cases: A 7-year-old girl (case 1) and a 12-year-old girl (case 2) whose mothers had suffered rubella during their pregnancy revealed typical rubella retinopathy in both eyes and neovascular maculopathy in one eye at their initial visit to our clinic. Neovascular maculopathy developed in another eye of case 1 after a follow-up of 10 months. Results: The clinical characteristics indicated that (1) sudden visual loss occurs in children, (2) there is no external trigger such as eye injury, and (3) the visual prognosis appears relatively good. Conclusion: Although neovascular maculopathy is rare in pediatric disease, the rubella retinopathy may have the potential to cause neovascular maculopathy. (J Jpn Ophthalmol Soc 104:431–436, 2000) Keiji Hirano, Atsuhiro Tanikawa and Yozo Miyake
Department of Ophthalmology, Nagoya University School of Medicine PII S0021-5155(00)00266-5
Choroidal Tuberculoma in a Patient with Acquired Immunodeficiency Syndrome Background: In Japan, since the introduction of antituberculosis chemotherapy, the typical choroidal tuberculoma has been considered uncommon. A patient with acquired immunodeficiency syndrome (AIDS), because of the suppression of cell mediated immunity, faces the risk of tuberculous infection. Case: A 30-year-old Malayan man had continuous cough for 6 months. He was diagnosed as having miliary tuberculosis of the lung and spine. Because the serum test of human immunodeficiency virus (HIV) was positive, he was also diagnosed as having AIDS. Findings: Fundus examination showed a yellow white swollen lesion of the choroid with distinct border in his right eye, probably caused by tuberculosis. After 3 months of therapy with antituberculosis and anti-HIV drugs, his systemic and ocular findings were markedly improved. Conclusion: Because of the recent increase in the incidence of tuberculosis with the epidemic of HIV prevailing in the world, the recognition of ocular tuberculosis is important. (J Jpn Ophthalmol Soc 104:437–441, 2000). Machiko Shimakawa Department of Ophthalmology, Tokyo Women’s Medical University, School of Medicine PII S0021-5155(00)00267-7