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Progressive development of acquired vitelliform lesion secondary to chorioretinal folds
Journal français d’ophtalmologie (2015) 38, 898—899
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Progressive development of acquired vitelliform lesion secondary to chorioretinal folds Le développement progressif de lésion vitelliforme acquise secondaire à des plis choriorétiniens F. Corvi a,b, G. Querques a,∗,b a
Department of ophthalmology, university Paris Est Creteil, Centre Hospitalier Intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France b Department of ophthalmology, hospital San Raffaele, university Vita Salute San Raffaele, Via Olgettina, 58, 20132 Milano, Italy Available online 2 September 2015
Chorioretinal folds (CRFs) represent undulations of the choroid, the Bruch’s membrane, the retinal pigment epithelium (RPE), and the overlying neurosensory retina [1]. While the most common associated condition is hyperopia, and 17% of CRFs are idiopathic [2], the potential causes include serious systemic disorders, such as neoplastic, infectious, or immunologic disorders [3]. Chronic CRFs may result in a progressive 3-stage CRF-related maculopathy [3]. The end-stage CRF-related
∗
Corresponding author. E-mail address: [email protected] (G. Querques).
http://dx.doi.org/10.1016/j.jfo.2015.01.015 0181-5512/© 2015 Elsevier Masson SAS. All rights reserved.
maculopathy is characterized either by a yellow, luteal macular appearance or by atrophy of the RPE. The luteal macular appearance which, similarly to occult choroidal neovascularization, on fluorescein angiography is characterized by stippled hyper-fluorescence with staining and mild leakage [3], shows on optical coherence tomography the typical characteristics of acquired vitelliform lesions (Fig. 1) [4].
Acquired vitelliform lesion secondary to chorioretinal folds
899
Figure 1. A. Fundus auto-fluorescence and spectral-domain optical coherence tomography (SD-OCT) showing the progressive development of an hyper-auto-fluorescent hyper-reflective sub-retinal acquired vitelliform lesion in the macula of a 80-year-old women with chorioretinal folds. B. Fluorescein angiography (FA) and SD-OCT showing chorioretinal folds on 2009; note on 2014 the stippled hyper-fluorescence with staining on FA.
Disclosure of interest The authors declare that they have no conflict of interest concerning this article.
References [1] Gass JDM. Steroscopic atlas of macular disease. St. Louis: CV Mosby; 1970.
[2] Cangemi FE, Trempe CL, Walsh JB. Choroidal folds. Am J Ophthalmol 1978;86:380—7. [3] Olsen TW, Palejwala NV, Lee LB, Bergstrom CS, Yeh S. Chorioretinal folds: associated disorders and a related maculopathy. Am J Ophthalmol 2014;157:1038—47. [4] Freund KB, Laud K, Lima LH, Spaide RF, Zweifel S, Yannuzzi LA. Acquired vitelliform lesions: correlation of clinical findings and multiple imaging analyses. Retina 2011;31: 13—25.
Disponible en ligne sur
ScienceDirect www.sciencedirect.com
IMAGE
Progressive development of acquired vitelliform lesion secondary to chorioretinal folds Le développement progressif de lésion vitelliforme acquise secondaire à des plis choriorétiniens F. Corvi a,b, G. Querques a,∗,b a
Department of ophthalmology, university Paris Est Creteil, Centre Hospitalier Intercommunal de Creteil, 40, avenue de Verdun, 94000 Creteil, France b Department of ophthalmology, hospital San Raffaele, university Vita Salute San Raffaele, Via Olgettina, 58, 20132 Milano, Italy Available online 2 September 2015
Chorioretinal folds (CRFs) represent undulations of the choroid, the Bruch’s membrane, the retinal pigment epithelium (RPE), and the overlying neurosensory retina [1]. While the most common associated condition is hyperopia, and 17% of CRFs are idiopathic [2], the potential causes include serious systemic disorders, such as neoplastic, infectious, or immunologic disorders [3]. Chronic CRFs may result in a progressive 3-stage CRF-related maculopathy [3]. The end-stage CRF-related
∗
Corresponding author. E-mail address: [email protected] (G. Querques).
http://dx.doi.org/10.1016/j.jfo.2015.01.015 0181-5512/© 2015 Elsevier Masson SAS. All rights reserved.
maculopathy is characterized either by a yellow, luteal macular appearance or by atrophy of the RPE. The luteal macular appearance which, similarly to occult choroidal neovascularization, on fluorescein angiography is characterized by stippled hyper-fluorescence with staining and mild leakage [3], shows on optical coherence tomography the typical characteristics of acquired vitelliform lesions (Fig. 1) [4].
Acquired vitelliform lesion secondary to chorioretinal folds
899
Figure 1. A. Fundus auto-fluorescence and spectral-domain optical coherence tomography (SD-OCT) showing the progressive development of an hyper-auto-fluorescent hyper-reflective sub-retinal acquired vitelliform lesion in the macula of a 80-year-old women with chorioretinal folds. B. Fluorescein angiography (FA) and SD-OCT showing chorioretinal folds on 2009; note on 2014 the stippled hyper-fluorescence with staining on FA.
Disclosure of interest The authors declare that they have no conflict of interest concerning this article.
References [1] Gass JDM. Steroscopic atlas of macular disease. St. Louis: CV Mosby; 1970.
[2] Cangemi FE, Trempe CL, Walsh JB. Choroidal folds. Am J Ophthalmol 1978;86:380—7. [3] Olsen TW, Palejwala NV, Lee LB, Bergstrom CS, Yeh S. Chorioretinal folds: associated disorders and a related maculopathy. Am J Ophthalmol 2014;157:1038—47. [4] Freund KB, Laud K, Lima LH, Spaide RF, Zweifel S, Yannuzzi LA. Acquired vitelliform lesions: correlation of clinical findings and multiple imaging analyses. Retina 2011;31: 13—25.