Characterization of macular lesions in punctate inner choroidopathy with spectral domain optical coherence tomography

Roomasa Channa, Mohamed Ibrahim, Yasir Sepah, Peykan Turkcuoglu, Jeong Hee Lee, Afsheen Khwaja, Elham Hatef, Millena Bittencourt, Jangwon Heo, Diana V Do, Quan Dong Nguyen

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Purpose: Punctate inner choroidopathy (PIC) is an ocular inflammatory disease. Spectral domain optical coherence tomography (SD-OCT) allows detailed visualization of retinal and choroidal structures. We aimed to describe the retinal changes on SD-OCT associated with PIC lesions localized in the macula. Methods: Retrospective case series: PIC lesions not associated with choroidal neovascularization (CNV) and captured by macular SD-OCT scans were identified and characterized. Results: Twenty-seven PIC lesions from seven patients (eight eyes) were identified and classified into four categories according to disease activity and temporal changes. Among clinically inactive patients, two main patterns were noted on OCT: (1) retinal pigment epithelium (RPE) elevation with sub-RPE hyper-reflective signals and (2) localized disruption of outer retinal layers with choroid and Bruch's membrane (BM) generally spared. Clinically active patients demonstrated lesions with intact BM with RPE elevation that fluctuated with disease activity and sub-RPE hyper-reflective signals. Photoreceptor-associated bands on SD-OCT (PRs) were not visible during active disease, but returned to normal visibility when lesions were clinically stable. Seven lesions in patients without clinically detected activity demonstrated alteration of RPE elevation. Conclusion: SD-OCT can provide detailed structural characteristics of PIC lesions. RPE elevation is noted in many lesions while BM and choroid are spared. Photoreceptor-associated bands on SD-OCT appear compressed during clinically active stages and are visible during stabilization. OCT may provide information on activity not detected clinically.

Original languageEnglish (US)
Pages (from-to)113-120
Number of pages8
JournalJournal of Ophthalmic Inflammation and Infection
Volume2
Issue number3
DOIs
StatePublished - Sep 1 2012

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Retinal Pigment Epithelium
Optical Coherence Tomography
Bruch Membrane
Choroid
Choroidal Neovascularization
Eye Diseases

Keywords

  • Choroid
  • Optical coherence tomography (OCT)
  • Punctate inner choroidopathy (PIC)
  • Retinal pigment epithelium (RPE)

ASJC Scopus subject areas

  • Ophthalmology
  • Infectious Diseases

Cite this

Characterization of macular lesions in punctate inner choroidopathy with spectral domain optical coherence tomography. / Channa, Roomasa; Ibrahim, Mohamed; Sepah, Yasir; Turkcuoglu, Peykan; Lee, Jeong Hee; Khwaja, Afsheen; Hatef, Elham; Bittencourt, Millena; Heo, Jangwon; Do, Diana V; Nguyen, Quan Dong.

In: Journal of Ophthalmic Inflammation and Infection, Vol. 2, No. 3, 01.09.2012, p. 113-120.

Research output: Contribution to journalArticle

Channa, R, Ibrahim, M, Sepah, Y, Turkcuoglu, P, Lee, JH, Khwaja, A, Hatef, E, Bittencourt, M, Heo, J, Do, DV & Nguyen, QD 2012, 'Characterization of macular lesions in punctate inner choroidopathy with spectral domain optical coherence tomography', Journal of Ophthalmic Inflammation and Infection, vol. 2, no. 3, pp. 113-120. https://doi.org/10.1007/s12348-011-0054-6
Channa, Roomasa ; Ibrahim, Mohamed ; Sepah, Yasir ; Turkcuoglu, Peykan ; Lee, Jeong Hee ; Khwaja, Afsheen ; Hatef, Elham ; Bittencourt, Millena ; Heo, Jangwon ; Do, Diana V ; Nguyen, Quan Dong. / Characterization of macular lesions in punctate inner choroidopathy with spectral domain optical coherence tomography. In: Journal of Ophthalmic Inflammation and Infection. 2012 ; Vol. 2, No. 3. pp. 113-120.
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AU - Lee, Jeong Hee

AU - Khwaja, Afsheen

AU - Hatef, Elham

AU - Bittencourt, Millena

AU - Heo, Jangwon

AU - Do, Diana V

AU - Nguyen, Quan Dong

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N2 - Purpose: Punctate inner choroidopathy (PIC) is an ocular inflammatory disease. Spectral domain optical coherence tomography (SD-OCT) allows detailed visualization of retinal and choroidal structures. We aimed to describe the retinal changes on SD-OCT associated with PIC lesions localized in the macula. Methods: Retrospective case series: PIC lesions not associated with choroidal neovascularization (CNV) and captured by macular SD-OCT scans were identified and characterized. Results: Twenty-seven PIC lesions from seven patients (eight eyes) were identified and classified into four categories according to disease activity and temporal changes. Among clinically inactive patients, two main patterns were noted on OCT: (1) retinal pigment epithelium (RPE) elevation with sub-RPE hyper-reflective signals and (2) localized disruption of outer retinal layers with choroid and Bruch's membrane (BM) generally spared. Clinically active patients demonstrated lesions with intact BM with RPE elevation that fluctuated with disease activity and sub-RPE hyper-reflective signals. Photoreceptor-associated bands on SD-OCT (PRs) were not visible during active disease, but returned to normal visibility when lesions were clinically stable. Seven lesions in patients without clinically detected activity demonstrated alteration of RPE elevation. Conclusion: SD-OCT can provide detailed structural characteristics of PIC lesions. RPE elevation is noted in many lesions while BM and choroid are spared. Photoreceptor-associated bands on SD-OCT appear compressed during clinically active stages and are visible during stabilization. OCT may provide information on activity not detected clinically.

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