Bilateral macular lesions in incontinentia pigmenti. Bloch-Sulzberger syndrome.
BACKGROUND
Incontinentia pigmenti (IP) is an inherited disorder with many systemic and ocular manifestations. Abnormalities of the retinal pigment epithelium, including peripheral hypopigmented areas, have been reported occasionally in patients with IP. These have not been symmetric, and they have not involved the fovea. The visual function in affected areas has not been described.


METHODS
The ophthalmic examination and results of fluorescein angiography are described in a patient with IP and bilateral discrete hypopigmented macular lesions.


RESULTS
The patient had normal vision. Fluorescein angiography of the macular lesions revealed transmission of fluorescence in the early phase and staining in the late phase.


CONCLUSIONS
The authors believe that this is the first report of bilateral macular hypopigmented lesions in a patient with IP, and it is the first to document normal vision in an affected area.
Soltau
J B
JB
Department of Ophthalmology and Visual Sciences, Washington University Medical Center, St. Louis, MO 63110, USA.
Lueder
G T
GT
D000328:Adult; D005260:Female; D005451:Fluorescein Angiography; D005584:Fovea Centralis / Q000473:pathology; D006801:Humans; D007184:Incontinentia Pigmenti / Q000175:diagnosis* / Q000503:physiopathology; D008266:Macula Lutea; D010858:Pigmentation; D012016:Reference Values; D012164:Retinal Diseases / Q000175:diagnosis* / Q000503:physiopathology; D014792:Visual Acuity