title: Ultra-widefield imaging of Duchenne muscular dystrophy-associated proliferative retinal vasculopathy improved with panretinal laser photocoagulation alone.
abstract: Duchenne muscular dystrophy (DMD) is an X-linked recessive genetic disorder whose ophthalmic associations most commonly consist of pigmentary fundus changes and scotopic electroretinogram abnormalities. A 23-year-old man with advanced DMD and associated cardiopulmonary compromise complaining of floaters presented with a striking retinal vasculopathy characterized by vitreous hemorrhage, neovascularization, capillary drop-out, and prominent saccular venular aneurysms diffusely throughout the fundus of both eyes. This vasculopathy was promptly treated with panretinal phocoagulation with marked improvement to at least 1 year. This report suggests that early identification and prompt treatment of DMD may be important in managing this condition.
authors.affiliation: Duke Eye Center, Duke University Medical Center, Durham, North Carolina 27710, USA. paul.s.hahn@duke.edu
authors.forename: Paul
authors.initials: P
authors.lastname: Hahn
authors.forename: Phoebe
authors.initials: P
authors.lastname: Lin
authors.forename: Sharon
authors.initials: S
authors.lastname: Fekrat
mesh_terms: D006801:Humans; D008028:Light Coagulation / Q000379:methods*; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000150:complications*; D012166:Retinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult