New optical coherence tomography fundus findings in a case of beta-thalassemia

MI Eleftheriadou,1 PG Theodossiadis,1 A Rouvas,1 D Alonistiotis,1 GP Theodossiadis212nd Department of Ophthalmology,”Attikon” University Hospital, University of Athens, 2Department of Ophthalmology, “Henry Dunant” Hospital, Athens, GreeceAbstra...

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Autores principales: Eleftheriadou MI, Theodossiadis PG, Rouvas A, Alonistiotis D, Theodossiadis GP
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Lenguaje:EN
Publicado: Dove Medical Press 2012
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spelling oai:doaj.org-article:f56bb8490ac440af958cb39313fdc92a2021-12-02T01:43:43ZNew optical coherence tomography fundus findings in a case of beta-thalassemia1177-54671177-5483https://doaj.org/article/f56bb8490ac440af958cb39313fdc92a2012-12-01T00:00:00Zhttp://www.dovepress.com/new-optical-coherence-tomography-fundus-findings-in-a-case-of-beta-tha-a11795https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483MI Eleftheriadou,1 PG Theodossiadis,1 A Rouvas,1 D Alonistiotis,1 GP Theodossiadis212nd Department of Ophthalmology,”Attikon” University Hospital, University of Athens, 2Department of Ophthalmology, “Henry Dunant” Hospital, Athens, GreeceAbstract: Patients with beta-thalassemia may present with an acquired diffuse elastic tissue defect due to degeneration of elastic tissue along with vaso-occlusive findings in the retinal microvasculature. Here we report the case of a patient with granular-like accumulation presenting as black sunburst lesions detected by optical coherence tomography (OCT). A 38-year-old man with beta-thalassemia intermedia associated with angioid streaks complained of deterioration of vision in both eyes. Funduscopic examination revealed small, round, hyperpigmented lesions bilaterally. During the early and late phases of fluorescein angiography, granular hyperfluoresence was present, associated with pigment decompensation and mottled-like hypofluorescence. The main OCT finding was the presence of granuloid-like accumulations at the retinal pigment epithelium level. Granule penetration was also noticed at the photoreceptor layer, while isolated granuloid-like accumulations were found in the inner layers of the macula and choroid. In this case, the new OCT finding was the granular-like hyperpigmented accumulations in the macula located at the level of the retinal pigment epithelium. To the best of our knowledge, our OCT findings show for the first time granuloid-like accumulations representing black sunburst lesions.Keywords: beta-thalassemia, angioid streaks, optical coherence tomography, granuloid-like accumulation, retinal pigment epitheliumEleftheriadou MITheodossiadis PGRouvas AAlonistiotis DTheodossiadis GPDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 2119-2122 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Eleftheriadou MI
Theodossiadis PG
Rouvas A
Alonistiotis D
Theodossiadis GP
New optical coherence tomography fundus findings in a case of beta-thalassemia
description MI Eleftheriadou,1 PG Theodossiadis,1 A Rouvas,1 D Alonistiotis,1 GP Theodossiadis212nd Department of Ophthalmology,”Attikon” University Hospital, University of Athens, 2Department of Ophthalmology, “Henry Dunant” Hospital, Athens, GreeceAbstract: Patients with beta-thalassemia may present with an acquired diffuse elastic tissue defect due to degeneration of elastic tissue along with vaso-occlusive findings in the retinal microvasculature. Here we report the case of a patient with granular-like accumulation presenting as black sunburst lesions detected by optical coherence tomography (OCT). A 38-year-old man with beta-thalassemia intermedia associated with angioid streaks complained of deterioration of vision in both eyes. Funduscopic examination revealed small, round, hyperpigmented lesions bilaterally. During the early and late phases of fluorescein angiography, granular hyperfluoresence was present, associated with pigment decompensation and mottled-like hypofluorescence. The main OCT finding was the presence of granuloid-like accumulations at the retinal pigment epithelium level. Granule penetration was also noticed at the photoreceptor layer, while isolated granuloid-like accumulations were found in the inner layers of the macula and choroid. In this case, the new OCT finding was the granular-like hyperpigmented accumulations in the macula located at the level of the retinal pigment epithelium. To the best of our knowledge, our OCT findings show for the first time granuloid-like accumulations representing black sunburst lesions.Keywords: beta-thalassemia, angioid streaks, optical coherence tomography, granuloid-like accumulation, retinal pigment epithelium
format article
author Eleftheriadou MI
Theodossiadis PG
Rouvas A
Alonistiotis D
Theodossiadis GP
author_facet Eleftheriadou MI
Theodossiadis PG
Rouvas A
Alonistiotis D
Theodossiadis GP
author_sort Eleftheriadou MI
title New optical coherence tomography fundus findings in a case of beta-thalassemia
title_short New optical coherence tomography fundus findings in a case of beta-thalassemia
title_full New optical coherence tomography fundus findings in a case of beta-thalassemia
title_fullStr New optical coherence tomography fundus findings in a case of beta-thalassemia
title_full_unstemmed New optical coherence tomography fundus findings in a case of beta-thalassemia
title_sort new optical coherence tomography fundus findings in a case of beta-thalassemia
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/f56bb8490ac440af958cb39313fdc92a
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