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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Benign familial fleck retina: multimodal imaging including optical coherence tomography angiography

2017; Conselho Brasileiro de Oftalmologia; Volume: 80; Issue: 5 Linguagem: Inglês

10.5935/0004-2749.20170078

ISSN

1678-2925

Autores

José Maurício Botto de Barros Garcia, David Leonardo Cruvinel Isaac, Tainara Sardeiro, Érika Carvalho de Aquino, Marcos Pereira de Ávila,

Tópico(s)

Retinal Diseases and Treatments

Resumo

This report presents multimodal imaging of a 27-year-old woman diagnosed with benign familial fleck retina (OMIM 228980), an uncommon disorder. Fundus photographs revealed retinal flecks that affected her post-equatorial retina but spared the macular area. Fundus autofluorescence and infrared imaging demonstrated a symmetrical pattern of yellow-white fleck lesions that affected both eyes. Her full-field electroretinogram and electrooculogram were normal. An optical coherence tomography B-scan was performed for both eyes, revealing increased thickness of the retinal pigmented epithelium leading to multiple small pigmented epithelium detachments. The outer retina remained intact in both eyes. Spectral-domain optical coherence tomography angiography with split-spectrum amplitude decorrelation algorithm and 3 × 3 mm structural en face optical coherence tomography did not show macular lesions. Benign familial fleck retina belongs to a heterogenous group of so-called flecked retina syndromes, and should be considered in patients with yellowish-white retinal lesions without involvement of the macula.

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