title: [Acute sectoral choroidal ischemia: a case report].
abstract: Sectoral choroidal ischemia is a classic sign of giant cell arteritis, although the latter is more typically associated with anterior ischemic optic neuropathy or central retinal artery occlusion. We report the case of an acute choroidal ischemia in a 68-year-old, one-eyed patient, who presented with deterioration of visual acuity and metamorphopsia in his left eye (his right eye was counting fingers due to high myopia). Fundus examination revealed retinal pigment epithelium (RPE) alterations and slow choroidal perfusion on fluorescein angiography. Macular Optical Coherence Tomography (OCT) showed a total disruption of the photoreceptor layer. Although prompt corticosteroid therapy preserved some vision, secondary macular retinal pigment epithelial changes limited the visual outcome. No other ophthalmological signs were observed in follow-up.
authors.affiliation: Service d'ophtalmologie, CHI André-Grégoire, 56, boulevard de la Boissière, 93105 Montreuil cedex, France. melluard@msn.com
authors.forename: M
authors.initials: M
authors.lastname: Elluard
authors.forename: A
authors.initials: A
authors.lastname: Sitbon
authors.forename: E
authors.initials: E
authors.lastname: Barreau
mesh_terms: D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D002829:Choroid / Q000098:blood supply*; D015862:Choroid Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D005451:Fluorescein Angiography; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male
chemical_list: D000305:Adrenal Cortex Hormones