A Case of Best Disease Accompanied by Pachychoroid Neovasculopathy

ŞERMET F., YANIK ODABAŞ Ö., DEMİREL S., Caglar C., ÖZMERT E.

TURK OFTALMOLOJI DERGISI-TURKISH JOURNAL OF OPHTHALMOLOGY, cilt.49, sa.4, ss.226-229, 2019 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 49 Sayı: 4
  • Basım Tarihi: 2019
  • Doi Numarası: 10.4274/tjo.galenos.2019.38073
  • Dergi Adı: TURK OFTALMOLOJI DERGISI-TURKISH JOURNAL OF OPHTHALMOLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.226-229
  • Anahtar Kelimeler: Best disease, optical coherence tomography angiography, pachychoroid neovasculopathy, COHERENCE TOMOGRAPHY ANGIOGRAPHY, CHOROIDAL NEOVASCULARIZATION, BESTROPHIN, GENE, CHANNELS, PATIENT, PRODUCT, VMD2
  • Ankara Üniversitesi Adresli: Evet

Özet

The aim of this case presentation is to describe ocular findings of a 22-year-old patient with Best vitelliform macular dystrophy accompanied by pachychoroid neovasculopathy. Color fundus photography, fundus autofluorescence (FAF), optical coherence tomography (OCT), and optical coherence tomography angiography (OCTA) images were reviewed. Funduscopic examination showed bilateral yellowish vitelliform-like submacular deposits. FAF revealed these deposits as hyperautofluorescent spots. OCT showed flat irregular pigment epithelial detachments corresponding to these submacular deposits. OCT showed choroidal thickening and dilatation of the large outer oval choroidal vessels. Fundus fluorescein angiography could not be performed because the patient was pregnant. En face OCTA images of the choriocapillaris illustrated the choroidal neovascular network. In this case report, we describe for the first time the coexistence of Best vitelliform macular dystrophy and pachychoroid neovasculopathy with OCTA images enabling visualization of the neovascular network in a patient with contraindication for fluorescein angiography.