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OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 636

Chorioretinal lacunae


Department Vitreo-Retinal Services, Aravind Eye Care System, Puducherry, India

Date of Web Publication28-Apr-2023

Correspondence Address:
Ayushi Sinha
Retina Department, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJO.IJO_165_23

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How to cite this article:
Sinha A, Nath A. Chorioretinal lacunae. Indian J Ophthalmol Case Rep 2023;3:636

How to cite this URL:
Sinha A, Nath A. Chorioretinal lacunae. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 2];3:636. Available from: https://www.ijoreports.in/text.asp?2023/3/2/636/374901



A 57-year-old Asian female presented with gradual onset defective vision in her right eye for one year. The vision was 20/80 in right eye, and counting fingers at 2m in left eye. Anterior segment of both eyes showed cataract. Fundi showed multiple, well-defined, yellow-white excavated areas of chorioretinal atrophy clustered around the posterior pole suggestive of chorioretinal lacunae [Figure 1]a and [Figure 1]b. [Figure 1]c and [Figure 1]d, shows OCT passing through the lacunae. Patient gives a history of seizures & respiratory infections. We believe these findings are consistent with the classic triad of female gender, pathognomonic chorioretinal lacunae, and seizures suggestive of Aicardi syndrome.[1],[2]
Figure 1: (a and b) Fundus photographs of both eyes showing ovoid, well-defined, excavated areas of chorioretinal atrophy clustered around in peripapillary area with pigmented margins suggestive of chorioretinal lacunae. (c) OCT scans passing through the lacunae and (d) through the island of spared foveal region in the right eye. LE OCT could not be captured due to cataract changes. These lacunae are full-thickness defects limited to the RPE epithelium and choroid, with an intact overlying retina

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. The patient understands that her name and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Bertoni JM, von Loh S, Allen RJ. The Aicardi syndrome: Report of 4 cases and review of the literature. Ann Neurol 1979;5:475e82.  Back to cited text no. 1
    
2.
Carney SH, Brodsky MC, Good WV, Glasier CM, Greibel ML, Cunniff C. Aicardi syndrome: More than meets the eye. Surv Ophthalmol 1993;37:419-24.  Back to cited text no. 2
    


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