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TitelSpectral domain optical coherence tomography findings in posterior scleritis associated chorioretinal folds : report of 3 cases
DoelTo describe the Spectral Domain Optical Coherence Tomography (SD-OCT) findings in posterior scleritis associated chorioretinal folds
MethodesCase reports of three eyes of three patients who came in emergency in University hospitals (CHU St Pierre, CHU Brugmann, Brussels Belgium). Fundus examination of the three eyes showed papillary edema, retinal folds and choroidal folds. A diagnosis of posterior scleritis was confirmed by B mode echography. A standard systemic work up was initiated and fluorescein angiography and SD-OCT were performed (Spectralis , Heidelberg in case 1) (RTVue, Optovue in cases 2 and 3).
ResultatenThe first case was compatible with an incomplete connectivitis, the other cases were idiopathic. SD-OCT findings were similar in the three cases and revealed the presence of 2 types of folds: one at the level of the nerve fiber layer of the retina and one at the level of the Bruch’s membrane. These folds are different because the first has a small wavelength and the second has a bigger wavelength. In the three eyes, symptoms and signs dramatically improved after oral steroids treatment and SD-OCT images returned to normal.
ConclusieSD-OCT has allowed us to provide details on the pathology of posterior scleritis associated chorioretinal folds. Pictures appear relatively distinct from folds of other origin, because they involve 2 structures with different wavelengths between the 2 folds. SD-OCT thus can be useful for the diagnosis and the follow up of mild posterior scleritis.
Auteur 1
NaamROSAPELLY
InitialenB
InstituutCHU Saint Pierre
StadBruxelles
Auteur 2
NaamWILLERMAIN
InitialenF
InstituutCHU Saint Pierre
StadBruxelles
Auteur 3
NaamCASPERS
InitialenL
InstituutCHU Saint Pierre
StadBruxelles
Auteur 4
NaamEL OUARDIGHI
InitialenH
InstituutCHU Saint Pierre
StadBruxelles
Auteur 5
NaamDAGUZAN
InitialenM
InstituutCHU Saint Pierre
StadBruxelles
Auteur 6
NaamPOSTELMANS
InitialenL
InstituutCHU Brugmann
StadBruxelles
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