Cargando…

Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency

PURPOSE: To report a case of bilateral posterior placoid-like maculopathy and a macular hole associated with vitamin A deficiency. OBSERVATIONS: A 72-year-old male presented with nyctalopia and progressive vision loss in both eyes. Examination and multimodal imaging were consistent with posterior pl...

Descripción completa

Detalles Bibliográficos
Autores principales: Lai, Eric W., Dinh, Russel H., Do, Brian K., Schechet, Sidney A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761597/
https://www.ncbi.nlm.nih.gov/pubmed/36544748
http://dx.doi.org/10.1016/j.ajoc.2022.101772
_version_ 1784852711144947712
author Lai, Eric W.
Dinh, Russel H.
Do, Brian K.
Schechet, Sidney A.
author_facet Lai, Eric W.
Dinh, Russel H.
Do, Brian K.
Schechet, Sidney A.
author_sort Lai, Eric W.
collection PubMed
description PURPOSE: To report a case of bilateral posterior placoid-like maculopathy and a macular hole associated with vitamin A deficiency. OBSERVATIONS: A 72-year-old male presented with nyctalopia and progressive vision loss in both eyes. Examination and multimodal imaging were consistent with posterior placoid-like maculopathy bilaterally and a macular hole in the right eye. A workup for infectious, inflammatory, and paraneoplastic etiologies revealed a severely low serum vitamin A level. Two months after initiation of vitamin A repletion, there was improvement in best-corrected Snellen visual acuity as well as macular hole closure. A diagnosis of posterior placoid-like maculopathy in the setting of vitamin A deficiency (VAD) was made. CONCLUSIONS AND IMPORTANCE: VAD should be considered when symmetric posterior pole placoid-like lesions are observed and other, more common etiologies have been ruled out.
format Online
Article
Text
id pubmed-9761597
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-97615972022-12-20 Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency Lai, Eric W. Dinh, Russel H. Do, Brian K. Schechet, Sidney A. Am J Ophthalmol Case Rep Case Report PURPOSE: To report a case of bilateral posterior placoid-like maculopathy and a macular hole associated with vitamin A deficiency. OBSERVATIONS: A 72-year-old male presented with nyctalopia and progressive vision loss in both eyes. Examination and multimodal imaging were consistent with posterior placoid-like maculopathy bilaterally and a macular hole in the right eye. A workup for infectious, inflammatory, and paraneoplastic etiologies revealed a severely low serum vitamin A level. Two months after initiation of vitamin A repletion, there was improvement in best-corrected Snellen visual acuity as well as macular hole closure. A diagnosis of posterior placoid-like maculopathy in the setting of vitamin A deficiency (VAD) was made. CONCLUSIONS AND IMPORTANCE: VAD should be considered when symmetric posterior pole placoid-like lesions are observed and other, more common etiologies have been ruled out. Elsevier 2022-12-07 /pmc/articles/PMC9761597/ /pubmed/36544748 http://dx.doi.org/10.1016/j.ajoc.2022.101772 Text en © 2022 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Lai, Eric W.
Dinh, Russel H.
Do, Brian K.
Schechet, Sidney A.
Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency
title Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency
title_full Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency
title_fullStr Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency
title_full_unstemmed Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency
title_short Posterior placoid-like maculopathy and macular hole associated with vitamin A deficiency
title_sort posterior placoid-like maculopathy and macular hole associated with vitamin a deficiency
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761597/
https://www.ncbi.nlm.nih.gov/pubmed/36544748
http://dx.doi.org/10.1016/j.ajoc.2022.101772
work_keys_str_mv AT laiericw posteriorplacoidlikemaculopathyandmacularholeassociatedwithvitaminadeficiency
AT dinhrusselh posteriorplacoidlikemaculopathyandmacularholeassociatedwithvitaminadeficiency
AT dobriank posteriorplacoidlikemaculopathyandmacularholeassociatedwithvitaminadeficiency
AT schechetsidneya posteriorplacoidlikemaculopathyandmacularholeassociatedwithvitaminadeficiency