Leber's Idiopathic Stellate Neuroretinitis with Peripapillary Serous Retinal Detachment.

Han, Dae Heon; Sohn, Hee Jin; Lee, Dae Young; Nam, Dong Heun

doi:2011.52.9.1109

J Korean Ophthalmol Soc > Volume 52(9); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(9):1109-1113.
DOI: https://doi.org/10.3341/jkos.2011.52.9.1109 Published online September 15, 2011.

Leber's Idiopathic Stellate Neuroretinitis with Peripapillary Serous Retinal Detachment.

Dae Heon Han, Hee Jin Sohn, Dae Young Lee, Dong Heun Nam

¹Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea. eyedawns@gilhospital.com
²Department of Ophthalmology, Hongik Hospital, Seoul, Korea.

시신경 주변부의 장액성 망막박리를 동반한 Leber 특발성 성상 시신경망막염

한대헌¹⋅손희진²⋅이대영¹⋅남동흔¹

Department of Ophthalmology, Gachon University Gil Hospital¹, Incheon, Korea Department of Ophthalmology, Hongik Hospital², Seoul, Korea

Abstract

PURPOSE
To report a patient with Leber's idiopathic stellate neuroretinitis accompanying peripapillary sensory retinal detachment detected with optical coherence tomography. CASE SUMMARY: A 26-year-old woman complained of visual disturbance in her right eye for several months. Her best corrected visual acuity was 0.5 in the right eye and 0.9 in the left eye. A relative afferent papillary defect was present in the right eye. Severe disc swelling with retinal hemorrhage and stellate macular exudates were observed in the right eye. Fluorescein angiography revealed optic disc leakage. There appeared to be no leakage from the other retinal vessels or from the retinal pigment epithelium. OCT revealed outer nuclear-plexiform layer fluid accumulation in the papillomacular region. Eight weeks after steroid treatment, the best corrected visual acuity in the right eye had improved to 0.7, and the optic disc edema had improved. The OCT showed that the fluid in the outer nuclear-plexiform layer space had largely been absorbed.

Key Words: Leber's idiopathic stellate neuroretinitis;Optical coherence tomography;Peripapillary serous retinal detachment