Cystoid macular edema in gyrate atrophy of the choroid and retina: A fluorescein angiography and optical coherence tomography evaluation

Abstract

PURPOSE: To analyze the importance of optical coherence tomography (OCT) to diagnose the cystoid macular edema in-a case of gyrate atrophy.DESIGN: Observational case report.METHODS: A 12-year-old boy presenting with gyrate atrophy of the choroid and retina underwent ophthalmologic, clinical, and laboratory tests.RESULTS: Plasma ornithine level was 735 mu mol/l. Fluorescein angiography showed bilateral hyperfluorescence involving the central region of the macula. Optical coherence tomography (OCT) disclosed bilateral intraretinal cysts areas of low reflectivity with occasional high-signal elements bridging the retinal layers and in, traretinal thickening.CONCLUSIONS: Both fluorescein angiography and OCT were helpful to confirm the diagnosis of macular involvement as a complication of gyrate atrophy of the choroid and retina in a patient who presented without any clinical evidence of cystoid macular edema, except a decrease in visual acuity. (c) 2005 by Elsevier Inc. All rights reserved.