Bilateral İdyopatik Multifokal Retina Pigment Epitel Dekolmanlı Bir Olgu

Göz polikliniğine yakını görememe şikayeti ile başvuran 47 yaşındaki bayan hastanın yapılan oftalmolojik muayenesinde en iyi düzeltilmiş görme keskinliği sağ gözde: 10/10, sol gözde 10/10’ idi. Hastanın göz içi basınçları sırasıyla sağ:14 mmhg, sol: 16 mmhg ‘idi. Biyomikroskobik muayenede her iki göz ön segment muayeneleri doğal görünümdeydi. Hastanın dilate fundus muayenesinde her iki foveada kistik ve yüzeyden hafif kabarık hipopigmente değişiklikler olduğu gözlendi. Hastanın metamorfopsi şikayeti yoktu. Aynı zamanda hastanın yapılan serolojik testlerinde herhangi bir patoloji saptanmadı. Sistemik herhangi bir problemi olmayan hastaya yapılan flöresein anjiografi (FA) ve optik kohorens tomografi (OCT) tetkikleri sonucunda, İdyopatik retina pigment epitel dekolmanı tanısı konuldu

A Case with Idiopathic Bilateral Multifocal Retinal Pigment Epithelium Detachment

A 47-year-old woman presented with near sight issues with 10/10 best corrected visual acuityin both eyes. The intraoculer pressure was 14mmhg in right eye and 16mmhg in left eye. Theslit-lamp examination showed a normal anterior chamber. The dilated fundus examinationshowed that there were cystic, hypopigmented, and swollen lessions in the both fovea. Thepatient did not have metamorphopsia. At the same time in serological tests performed on thepatient did not develop any pathology. With no present systemic problem, the patient wasdiagnosed with idiopathic retina pigment epitel detachment at the end of examination withfluorecein anjiography and optical chorence tomography.

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1. Gass JD, Bressler SB, Akduman L, Olk J, Caskey PJ, Zimmerman LE. Bilateral idiopathic multifocal retinal pigment epithelium detachments in otherwise healthy middle-aged adults: a clinicopathologic study. Retina 2005;25(3):304-10.
2. Giovanni A, Scassellati-Sforzolini B, D’Altobrando E, Mariotti C, Rutili T, Tittarelli R. Choroidal findings in the course of idiopathic serous pigment epithelium detachment detected by indocyanine green videoangiography. Retina 1997;17(4):286-93.
3. Uyama M, Matsunaga H, Matsubara T, Fukushima I, Takahashi K, Nishimura T. Indocyaninegreen angiography and pathophysiology multifocal posterior pigment epitheliopathy. Retina 1999;19(1):12-21.
4. Prunte C, Flammer J. Choroidal capillary and venous congestion in central serous chorioretinopathy. Am J Ophthalmol 1996;121(1):26-34.
5. Noble KG, Levitzky MJ, Carr RE. Detachments of the retinal pigment epithelium at the posterior pole. Am J Ophthalmol 1976;82(2):246-51.
6. Anand S and Mushin AS. Multifocal asymptomatic retinal pigment epithelial detachments in neurosyphilis Eye 2003;17(4):524-5
7. Koide K, Suto K, Hikoya A, Toshiba T, Hotta Y. Bilateral multifocal retinal pigment epithelial detachments associated with abnormal multifocal electroretinograms. Jpn J Ophthalmol 2009;53:546-63.
8. Murakami M, Kawakubo H, Yuzawa M, et al. Two cases of multiple retinal pigment epithelial detachments. Jpn J Ophthalmol 1995;37:73-81.