Clinical Features of Punctate Inner Choroidopathy in Korea.

Cho, Hee Yoon; Kim, Sang Gug; Ham, Don Il; Kang, Se Woong

Original Article

Journal of the Korean Ophthalmological Society 2004;45(12):2047-2054.
Published online December 1, 2004.

Clinical Features of Punctate Inner Choroidopathy in Korea.

Hee Yoon Cho, Sang Gug Kim, Don Il Ham, Se Woong Kang

¹Department of Ophthalmology, Sungkyunkwan University Samsung Medical Center, Seoul, Korea. swkang@smc.samsung.co.kr
²Department of Ophthalmology, Chungbuk National University, College of Medicine, Cheongju, Korea.

점상내층맥락막병증의 임상양상

조희윤 ( Hee Yoon Cho ) , 김상국 ( Sang Gug Kim ) , 함돈일 ( Don Il Ham ) , 강세웅 ( Se Woong Kang )

Abstract

PURPOSE
To characterize the clinical presentation and visual prognosis of punctate inner choroidopathy in Korean patients. METHODS: Eleven patients (seventeen eyes) with punctate inner choroidopathy (PIC) and four (six eyes) with multifocal choroiditis with panuveitis (MCP) were analyzed retrospectively. RESULTS: The mean age of the PIC patients was 32.2 +/- 9.3 years and the mean refractive error was -4.79 +/- 3.18 diopters. In all PIC eyes, fundus photographs showed multiple yellowish white punctate lesions and punched-out scars at the level of the inner retina and choroid. There was no significant difference between the mean initial visual acuity (0.67 +/- 0.40) and the mean final visual acuity (0.56 +/- 0.41). The major cause of visual deterioration was choroidal neovascularization (CNV) which developed in 4 eyes. In PIC, the lesions were located in the more posterior retina and the incidence of CNV was higher than in MCP. CONCLUSIONS: PIC affects young women with moderate myopia and shows the characteristic chorioretinal lesion. Although the eye with PIC usually maintains stable vision after initial attack, CNV may cause complications and significant visual loss.

Key Words: Choroidal neovascularization;Clinical presentation;Punctate inner choroidopathy