An Uncommon Presentation of Pigmented Paravenous Retinochoroidal Atrophy

Authors

  • Raman Bhakhri Illinois College of Optometry
  • Kevin Patel

DOI:

https://doi.org/10.15353/cjo.v86i1.5488

Keywords:

pigmented paravenous retinochoroidal atrophy, retinitis pigmentosa, multimodal imaging

Abstract

Pigmented paravenous retinochoroidal atrophy is a rare diagnosis of exclusion as it can mimic many hereditary retinal (namely retinitis pigmentosa), infectious, and inflammatory disorders. Once diagnosed, it carries a favorable prognosis due to the macula being spared with slow to no progression and lack of symptoms.  However, rare cases have noted macula involvement and symptoms including nyctalopia.  Clinicians should be aware of presentations of pigmented paravenous retinochoroidal atrophy, beyond the typical findings noted in the literature, as these cases could be misdiagnosed.  This case presents a rare presentation of pigmented paravenous retinochoroidal atrophy. A review of common and uncommon findings, potential pathophysiology, differential diagnoses, and multimodal imaging results is also presented.

References

Huang HB, Zhang YX. Pigmented paravenous retinochoroidal atrophy (Review). Exp Ther Med. Jun 2014;7(6):1439-1445. doi:10.3892/etm.2014.1648

Jung I, Lee Y, Kang S, Won J. Pigmented Paravenous Retinochoroidal Atrophy: A Case Report Supported by Multimodal Imaging Studies. Medicina (Kaunas). 2021. vol. 12.

Lee EK, Lee SY, Oh BL, Yoon CK, Park UC, Yu HG. Pigmented Paravenous Chorioretinal Atrophy: Clinical Spectrum and Multimodal Imaging Characteristics. Am J Ophthalmol. Apr 2021;224:120-132. doi:10.1016/j.ajo.2020.12.010

Aoki S, Inoue T, Kusakabe M, et al. Unilateral pigmented paravenous retinochoroidal atrophy with retinitis pigmentosa in the contralateral eye: A case report. American Journal of Ophthalmology Case Reports. 2017/12/01/ 2017;8:14-17. doi:https://doi.org/10.1016/j.ajoc.2017.08.003

Shen Y, Xu X, Cao H. Pigmented paravenous retinochoroidal atrophy: a case report. BMC Ophthalmol. Jun 7 2018;18(1):136. doi:10.1186/s12886-018-0809-z

Shona Oa, Islam F, Robson AG, Webster AR, Moore AT, Michaelides M. PIGMENTED PARAVENOUS CHORIORETINAL ATROPHY: Detailed Clinical Study of a Large Cohort. RETINA. 2019;39(3)

McKay GJ, Clarke S, Davis JA, Simpson DA, Silvestri G. Pigmented paravenous chorioretinal atrophy is associated with a mutation within the crumbs homolog 1 (CRB1) gene. Invest Ophthalmol Vis Sci. Jan 2005;46(1):322-8. doi:10.1167/iovs.04-0734

Hughes EH, Guzowski M, Simunovic MP, Hunyor AP, McCluskey P. Syphilitic retinitis and uveitis in HIV-positive adults. Clin Experiment Ophthalmol. Dec 2010;38(9):851-6. doi:10.1111/j.1442-9071.2010.02383.x

Quillen DA, Davis JB, Gottlieb JL, et al. The white dot syndromes. Am J Ophthalmol. Mar 2004;137(3):538-50. doi:10.1016/j.ajo.2004.01.053

Chatziralli I, Saitakis G, Dimitriou E, et al. ANGIOID STREAKS: A Comprehensive Review From Pathophysiology to Treatment. Retina. Jan 2019;39(1):1-11. doi:10.1097/iae.0000000000002327

Triantafylla M, Panos GD, Dardabounis D, Nanos P, Konstantinidis A. Helicoid peripapillary chorioretinal degeneration complicated by choroidal neovascularization. Eur J Ophthalmol. Feb 15 2016;26(2):e30-1. doi:10.5301/ejo.5000695

Barteselli G. Fundus autofluorescence and optical coherence tomography findings in pigmented paravenous retinochoroidal atrophy. Can J Ophthalmol. Dec 2014;49(6):e144-6. doi:10.1016/j.jcjo.2014.08.019

Ranjan R, Jain MA, Verghese S, Manayath GJ, Narendran V. Multimodal imaging of pigmented paravenous retinochoroidal atrophy. Eur J Ophthalmol. Jan 2022;32(1):Np125-np129. doi:10.1177/1120672120965489

Xiang W, Wei Y. Pigmented Paravenous Chorioretinal Atrophy With Macular Hole. JAMA Ophthalmology. 2022;140(8):e222437-e222437. doi:10.1001/jamaophthalmol.2022.2437

Cicinelli MV, Giuffrè C, Rabiolo A, Parodi MB, Bandello F. Optical Coherence Tomography Angiography of Pigmented Paravenous Retinochoroidal Atrophy. Ophthalmic Surg Lasers Imaging Retina. May 1 2018;49(5):381-383. doi:10.3928/23258160-20180501-14

Yanagi Y, Okajima O, Mori M. Indocyanine green angiography in pigmented paravenous retinochoroidal atrophy. Acta Ophthalmol Scand. Feb 2003;81(1):60-7. doi:10.1034/j.1600-0420.2003.00003.x

Foxman SG, Heckenlively JR, Sinclair SH. Rubeola retinopathy and pigmented paravenous retinochoroidal atrophy. Am J Ophthalmol. May 15 1985;99(5):605-6. doi:10.1016/s0002-9394(14)77976-0

Noble KG, Carr RE. Pigmented paravenous chorioretinal atrophy. Am J Ophthalmol. Sep 1983;96(3):338-44. doi:10.1016/s0002-9394(14)77825-0

Obata R, Yanagi Y, Iriyama A, Tamaki Y. A familial case of pigmented paravenous retinochoroidal atrophy with asymmetrical fundus manifestations. Graefes Arch Clin Exp Ophthalmol. Jul 2006;244(7):874-7. doi:10.1007/s00417-005-0179-0

Downloads

Published

2024-02-20

How to Cite

Bhakhri, R., & Patel, K. (2024). An Uncommon Presentation of Pigmented Paravenous Retinochoroidal Atrophy. Canadian Journal of Optometry, 86(1), 7–14. https://doi.org/10.15353/cjo.v86i1.5488

Issue

Section

Clinical Research