Korean J Ophthalmol.  2019 Dec;33(6):577-578. 10.3341/kjo.2019.0035.

Bilateral Central Serous Retinal Detachment in Protein-losing Enteropathy

Affiliations
  • 1Farabi Eye Hospital, Tehran University of Medical Science, Tehran, Iran. m-mirghorbani@razi.tums.ac.ir

Abstract

No abstract available.


MeSH Terms

Protein-Losing Enteropathies*
Retinal Detachment*
Retinaldehyde*
Retinaldehyde

Figure

  • Fig. 1 (A,B) Slit lamp photographs. Note the moderate chemosis prominent at the temporal conjunctiva (arrows) (anisocoria is pharmacologic). (C–H) Retinal elevation was observed in both eyes (arrows) with macular exudate in the right eye. In autofluorescence imaging, hyper autofluorescence in the area corresponding to the retinal elevation was detected due to the presence of subretinal fluid. (I,J) In fluorescein angiography, hypofluorescent areas were seen in both eyes, compatible with the clinical examination and optical coherence tomography (arrows). The hypofluorescence occurred because of accumulation of subretinal fluid and the resultant blockage, without any signs of vascular leakage (hyperfluorescence) such as smoke stack sign or expansile dot in late phases (not shown here). (K,L) Repeat macular optical coherence tomography 2 months later revealed significant resolution of the subretinal fluid. Informed consent was obtained from the patient for publication of this case report and relevant images.


Reference

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2. Venkatramani J, Gottlieb JL, Thomassen TS, Multari A. Bilateral serous retinal detachment due to protein-losing enteropathy. Arch Ophthalmol. 2004; 122:1067–1070.
3. Fatt I, Shantinath K. Flow conductivity of retina and its role in retinal adhesion. Exp Eye Res. 1971; 12:218–226.
4. Tsuboi S. Measurement of the volume flow and hydraulic conductivity across the isolated dog retinal pigment epithelium. Invest Ophthalmol Vis Sci. 1987; 28:1776–1782.
5. Chen Z, Li MT, Xu D, et al. Protein-losing enteropathy in systemic lupus erythematosus: 12 years experience from a Chinese academic center. PLoS One. 2014; 9:e114684.
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