Georgiou, M;
McAnena, L;
Michaelides, M;
Reddy, MA;
(2020)
Incidental unilateral idiopathic maculopathy in children.
Journal of American Association for Pediatric Ophthalmology and Strabismus
, 24
(6)
357.e1-357.e6.
10.1016/j.jaapos.2020.08.009.
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Abstract
PURPOSE: To investigate the clinical findings and differential diagnosis of incidental unilateral discoid maculopathy in a case series of children. METHODS: The medical records and retinal imaging of children referred to a single center for flat, well circumscribed, hypopigmented discoid macular lesion in the left eye were reviewed retrospectively. RESULTS: Three children (age range, 4-11 years; 2 female), with no subjective ophthalmic complaints, were referred for investigation of a flat, well-circumscribed, hypopigmented discoid macular lesion in the left eye. Case 1 had a history of viral mesenteric adenitis, and case 2 had a history of hand, foot, and mouth disease. For case 3, no previous history of systemic viral infection was established. Snellen visual acuity was 20/20 for all 3 children. The lesion was located superior to the fovea for case 1 and centered to the fovea for cases 2 and 3, all in the left eye. In all 3 patients, hyperautofluorescent changes were noted around the edges of the lesion, which was roughly discoid. OCT showed subtle changes of the interdigitation zone and retinal pigment epithelium (RPE) for cases 1 and 2. In case 3 the presence of hyperreflective, hypertrophic tissue at the level of the interdigitation zone and/or the RPE was noted. CONCLUSIONS: In these 3 children with subclinical, unilateral discoid maculopathy sharing common features and identified incidentally, previous viral illness may have been causative. These cases may represent resolved unilateral acute idiopathic maculopathy.
| Type: | Article |
|---|---|
| Title: | Incidental unilateral idiopathic maculopathy in children |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.jaapos.2020.08.009 |
| Publisher version: | https://doi.org/10.1016/j.jaapos.2020.08.009 |
| Language: | English |
| Additional information: | Copyright © 2020, The Authors. Published by Elsevier Inc. on behalf of American Association for Pediatric Ophthalmology and Strabismus. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10116366 |
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