STELLATE MULTIFORM AMELANOTIC CHOROIDOPATHY: Clinical and Multimodal Imaging Features.
Journal
Retina (Philadelphia, Pa.)
ISSN: 1539-2864
Titre abrégé: Retina
Pays: United States
ID NLM: 8309919
Informations de publication
Date de publication:
01 09 2023
01 09 2023
Historique:
medline:
24
8
2023
pubmed:
2
5
2023
entrez:
1
5
2023
Statut:
ppublish
Résumé
To describe the clinical and multimodal imaging features of stellate multiform amelanotic choroidopathy (SMACH; also known as serous maculopathy due to aspecific choroidopathy). Retrospective observational case series of eyes presenting with SMACH. Multimodal imaging including fundus photography, optical coherence tomography (OCT), OCT angiography (OCTA), and indocyanine green angiography (ICGA) was analyzed. Eighteen eyes from 18 patients (mean age: 28 ± 19 years) were included. The mean follow-up duration was 9 years. Ophthalmoscopy showed a yellowish orange, dendriform choroidal lesion. At presentation, subretinal fluid (SRF) was seen in 10 of 18 cases (56%). Eight patients (44%) showed no evidence of SRF during a mean follow-up of 6 years. Cross-sectional OCT showed hyperreflective fibrous-like changes within the inner choroid with choriocapillaris flow preservation on OCTA. En face OCT showed a hyperreflective choroidal lesion with finger-like projections oriented in a stellate configuration. On ICGA, SMACH showed early and late hypofluorescence. None of the cases showed lesion growth. SMACH seems to be a unilateral choroidopathy characterized by distinctive multimodal imaging features. As SRF was absent in some cases, while a dendriform pattern was a consistent finding in all eyes, the authors propose renaming this entity "stellate multiform amelanotic choroidopathy," a name that retains its previous abbreviation "SMACH."
Identifiants
pubmed: 37127025
doi: 10.1097/IAE.0000000000003826
pii: 00006982-990000000-00355
doi:
Substances chimiques
Indocyanine Green
IX6J1063HV
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1448-1461Références
van Dijk EHC, Boon CJF. Serous business: delineating the broad spectrum of diseases with subretinal fluid in the macula. Prog Retin Eye Res 2021;84:100955.
van Dijk EHC, Ossewaarde-van Norel J, Vingerling JR, et al. Serous maculopathy due to aspecific choroidopathy (SMACH). Asia Pac J Ophthalmol 2022. Publish Ahead of Print.
Fine SL, Owens SL. Central serous retinopathy in a 7-year-old girl. Am J Ophthalmol 1980;90:871–873.
Kim YC, Kim SD, Kim KS. A case of idiopathic central serous chorioretinopathy in a 12-year-old male treated with bevacizumab. Korean J Ophthalmol 2012;26:391–393.
Velazquez-Martin JP, Fulda E, Domville D, et al. Presumed idiopathic central serous chorioretinopathy in a 12-year-old girl. Case Rep Ophthalmol 2012;3:5–10.
Cheung CMG, Lee WK, Koizumi H, et al. Pachychoroid disease. Eye (Lond). 2019;33:14–33.
Ramtohul P, Cabral D, Oh D, et al. En face ultra-widefield OCT of the vortex vein system in central serous chorioretinopathy. Ophthalmol Retina 2023;7:346–353.
Klufas MA, Phasukkijwatana N, Iafe NA, et al. Optical coherence tomography angiography reveals choriocapillaris flow reduction in placoid chorioretinitis. Ophthalmol Retina 2017;1:77–91.
Leng T, Marmor MF, Kellner U, et al. Foveal cavitation as an optical coherence tomography finding in central cone dysfunction. Retina 2012;32:1411–1419.
Greenberg JP, Sherman J, Zweifel SA, et al. Spectral-domain optical coherence tomography staging and autofluorescence imaging in achromatopsia. JAMA Ophthalmol 2014;132:437–445.
Oh JK, Ryu J, Lima de Carvalho JR, et al. Optical gap biomarker in cone-dominant retinal dystrophy. Am J Ophthalmol 2020;218:40–53.
Zatreanu L, Freund KB, Leong BCS, et al. Serous macular detachment in best disease: a masquerade syndrome. Retina 2020;40:1456–1470.
Shields CL, Pellegrini M, Ferenczy SR, Shields JA. Enhanced depth imaging optical coherence tomography of intraocular tumors: from placid to seasick to rock and rolling topography—the 2013 Francesco Orzalesi Lecture. Retina 2014;34:1495–1512.
Fung AT, Waldstein SM, Gal-Or O, et al. Focal scleral nodule: a New name for solitary idiopathic choroiditis and unifocal helioid choroiditis. Ophthalmology 2020;127:1567–1577.
Francis JH, Pang CE, Abramson DH, et al. Swept-source optical coherence tomography features of choroidal nevi. Am J Ophthalmol 2015;159:169–176.e1.
Jonna G, Daniels AB. Enhanced depth imaging OCT of ultrasonographically Flat choroidal nevi demonstrates 5 distinct patterns. Ophthalmol Retina 2019;3:270–277.
Shields CL, Dalvin LA, Ancona-Lezama D, et al. Choroidal nevus imaging features in 3,806 cases and risk factors for transformation into melanoma in 2,355 cases: the 2020 Taylor R. Smith and Victor T. Curtin Lecture. Retina 2019;39:1840–1851.
Greig EC, Laver NV, Mendonca LSM, et al. SWEPT-SOURCE optical coherence tomography angiography in small choroidal melanomas and choroidal nevi. Retina 2021;41:1182–1192.
Shields CL, Bianciotto C, Pirondini C, et al. Autofluorescence of choroidal melanoma in 51 cases. Br J Ophthalmol 2008;92:617–622.
Olguin-Manríquez F, Enríquez AB, Crim N, et al. Multimodal imaging in choroidal osteoma. Int J Retina Vitreous 2018;4:30.
Shields CL, Arepalli S, Atalay HT, et al. Choroidal osteoma shows bone lamella and vascular channels on enhanced depth imaging optical coherence tomography in 15 eyes. Retina 2015;35:750–757.
Al-Dahmash SA, Shields CL, Kaliki S, et al. Enhanced depth imaging optical coherence tomography of choroidal metastasis in 14 eyes. Retina 2014;34:1588–1593.
Karimi S, Nourinia R, Mashayekhi A. Circumscribed choroidal hemangioma. J Ophthalmic Vis Res 2015;10:320–328.
Flores-Moreno I, Caminal JM, Arias-Barquet L, et al. En face mode of swept-source optical coherence tomography in circumscribed choroidal haemangioma. Br J Ophthalmol 2016;100:360–364.
Ramasubramanian A, Shields CL, Harmon SA, Shields JA. Autofluorescence of choroidal hemangioma in 34 consecutive eyes. Retina 2010;30:16–22.
Shields CL, Arepalli S, Pellegrini M, et al. Choroidal lymphoma shows calm, rippled, or undulating topography on enhanced depth imaging optical coherence tomography in 14 eyes. Retina 2014;34:1347–1353.
Mashayekhi A, Shukla SY, Shields JA, Shields CL. Choroidal lymphoma: clinical features and association with systemic lymphoma. Ophthalmology 2014;121:342–351.
Yu MD, Dalvin LA, Ancona-Lezama D, et al. Choriocapillaris compression correlates with choroidal nevus-associated subretinal fluid: OCT analysis of 3431 cases. Ophthalmology 2020;127:1273–1276.
Cohen SY, Vignal-Clermont C, Trinh L, Ohno-Matsui K. Tilted disc syndrome (TDS): New hypotheses for posterior segment complications and their implications in other retinal diseases. Prog Retin Eye Res 2022;88:101020.