Pigmented Paravenous Retinochoroidal Atrophy (PPRCA)

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File number: 134258

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    Miscellaneous
    Condition/keywords
    pigmented paravenous chorioretinal atrophy (PPCRA), pigmentary retinal dystrophy
    Photographer
    Dr. Moustafa Damlakhi
    Imaging device
    Fundus camera
    OPTOS
    Description
    A 47 year-old male with a 15-year history of diabetes mellitus presented with mild bilateral ocular irritation .Fundus examination of both eyes revealed radially distributed paravenous pigmentary changes with scar-like chorioretinal atrophy distributed along retinal vessels, with sparing of the macula as well as the discs . Findings were bilateral and symmetrical. Optical coherence tomography (OCT) demonstrated a normal foveal contour with no retinal thinning or macular involvement. Fundus fluorescein angiography (FFA) showed staining of the choroidal lesions without leakage, neovascularization, or signs of active inflammation. The absence of symptoms, normal OCT, and lack of leakage or activity on FFA in this case support the benign nature of the condition and help avoid unnecessary treatment.

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