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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 636 |
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Chorioretinal lacunae
Ayushi Sinha, Anamika Nath
Department Vitreo-Retinal Services, Aravind Eye Care System, Puducherry, India
| Date of Web Publication | 28-Apr-2023 |
Correspondence Address:
Ayushi Sinha
Retina Department, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_165_23
How to cite this article:
Sinha A, Nath A. Chorioretinal lacunae. Indian J Ophthalmol Case Rep 2023;3:636 |
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 The patient understands that her name and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed.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 | |  |
| 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.  |
| 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. |
[Figure 1]
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