Electrooculogram (EOG) findings in a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) detected following trauma
Purpose The purpose of this study was to monitor a case of acute exudative polymorphous vitelliform maculopathy detected following trauma. Methods Clinical examination included fundus photographs, optical coherence tomography (OCT) and fluorescein angiography. Pattern and full-field electroretinogra...
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| Veröffentlicht in: | Documenta ophthalmologica 2013-12, Vol.127 (3), p.255-259 |
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| creator | Lee, Richard M. H. Robson, Anthony G. Hughes, Edward H. |
| description | Purpose
The purpose of this study was to monitor a case of acute exudative polymorphous vitelliform maculopathy detected following trauma.
Methods
Clinical examination included fundus photographs, optical coherence tomography (OCT) and fluorescein angiography. Pattern and full-field electroretinograms (PERG; ERG) and serial electrooculograms (EOG) were performed, incorporating the international standards.
Results
A 45-year-old Caucasian woman developed blurring of vision in both eyes 5 days after a serious road traffic accident. On examination, bilateral serous macular detachments and multiple small yellow subretinal lesions were observed in both eyes associated with areas of serous retinal detachment superior and inferior to the yellow lesions in the left eye. OCT showed retinal elevation with a band of high reflectance on the outer retina but no intra-retinal fluid or elevation of the retinal pigment epithelium (RPE). There was bilateral EOG reduction in keeping with generalised RPE dysfunction and pattern ERG evidence of left macular involvement. After 9 months, the patient reported spontaneous improvement in vision with gravitational settling and coalescence of the subretinal yellow deposits. At 37 months, there was improvement in the EOG and visual acuity.
Conclusions
A rare case of AEPVM is described that was detected following trauma and which gradually improved over 37 months. The EOG showed evidence of generalised RPE dysfunction that resolved and may be useful in the monitoring of AEPVM. |
| doi_str_mv | 10.1007/s10633-013-9408-8 |
| format | Article |
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The purpose of this study was to monitor a case of acute exudative polymorphous vitelliform maculopathy detected following trauma.
Methods
Clinical examination included fundus photographs, optical coherence tomography (OCT) and fluorescein angiography. Pattern and full-field electroretinograms (PERG; ERG) and serial electrooculograms (EOG) were performed, incorporating the international standards.
Results
A 45-year-old Caucasian woman developed blurring of vision in both eyes 5 days after a serious road traffic accident. On examination, bilateral serous macular detachments and multiple small yellow subretinal lesions were observed in both eyes associated with areas of serous retinal detachment superior and inferior to the yellow lesions in the left eye. OCT showed retinal elevation with a band of high reflectance on the outer retina but no intra-retinal fluid or elevation of the retinal pigment epithelium (RPE). There was bilateral EOG reduction in keeping with generalised RPE dysfunction and pattern ERG evidence of left macular involvement. After 9 months, the patient reported spontaneous improvement in vision with gravitational settling and coalescence of the subretinal yellow deposits. At 37 months, there was improvement in the EOG and visual acuity.
Conclusions
A rare case of AEPVM is described that was detected following trauma and which gradually improved over 37 months. The EOG showed evidence of generalised RPE dysfunction that resolved and may be useful in the monitoring of AEPVM.</description><identifier>ISSN: 0012-4486</identifier><identifier>EISSN: 1573-2622</identifier><identifier>DOI: 10.1007/s10633-013-9408-8</identifier><identifier>PMID: 24052225</identifier><identifier>CODEN: DOOPAA</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accidents, Traffic ; Acute Disease ; Clinical Case Report ; Electrooculography ; Electroretinography ; Exudates and Transudates ; Eye Injuries - diagnosis ; Eye Injuries - etiology ; Eye Injuries - physiopathology ; Female ; Fluorescein Angiography ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Retina - injuries ; Retina - physiopathology ; Retinal Detachment - diagnosis ; Retinal Detachment - etiology ; Retinal Detachment - physiopathology ; Retinal Pigment Epithelium - pathology ; Tomography, Optical Coherence ; Vision Disorders - pathology ; Visual Acuity - physiology ; Vitelliform Macular Dystrophy - diagnosis ; Vitelliform Macular Dystrophy - etiology ; Vitelliform Macular Dystrophy - physiopathology ; Wounds, Nonpenetrating - diagnosis ; Wounds, Nonpenetrating - etiology ; Wounds, Nonpenetrating - physiopathology</subject><ispartof>Documenta ophthalmologica, 2013-12, Vol.127 (3), p.255-259</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-fc21b6f21e17e1ba3e5de8efc205b6bcd75d43fb123168273ca5e9d5f23482093</citedby><cites>FETCH-LOGICAL-c372t-fc21b6f21e17e1ba3e5de8efc205b6bcd75d43fb123168273ca5e9d5f23482093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10633-013-9408-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10633-013-9408-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24052225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Richard M. H.</creatorcontrib><creatorcontrib>Robson, Anthony G.</creatorcontrib><creatorcontrib>Hughes, Edward H.</creatorcontrib><title>Electrooculogram (EOG) findings in a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) detected following trauma</title><title>Documenta ophthalmologica</title><addtitle>Doc Ophthalmol</addtitle><addtitle>Doc Ophthalmol</addtitle><description>Purpose
The purpose of this study was to monitor a case of acute exudative polymorphous vitelliform maculopathy detected following trauma.
Methods
Clinical examination included fundus photographs, optical coherence tomography (OCT) and fluorescein angiography. Pattern and full-field electroretinograms (PERG; ERG) and serial electrooculograms (EOG) were performed, incorporating the international standards.
Results
A 45-year-old Caucasian woman developed blurring of vision in both eyes 5 days after a serious road traffic accident. On examination, bilateral serous macular detachments and multiple small yellow subretinal lesions were observed in both eyes associated with areas of serous retinal detachment superior and inferior to the yellow lesions in the left eye. OCT showed retinal elevation with a band of high reflectance on the outer retina but no intra-retinal fluid or elevation of the retinal pigment epithelium (RPE). There was bilateral EOG reduction in keeping with generalised RPE dysfunction and pattern ERG evidence of left macular involvement. After 9 months, the patient reported spontaneous improvement in vision with gravitational settling and coalescence of the subretinal yellow deposits. At 37 months, there was improvement in the EOG and visual acuity.
Conclusions
A rare case of AEPVM is described that was detected following trauma and which gradually improved over 37 months. The EOG showed evidence of generalised RPE dysfunction that resolved and may be useful in the monitoring of AEPVM.</description><subject>Accidents, Traffic</subject><subject>Acute Disease</subject><subject>Clinical Case Report</subject><subject>Electrooculography</subject><subject>Electroretinography</subject><subject>Exudates and Transudates</subject><subject>Eye Injuries - diagnosis</subject><subject>Eye Injuries - etiology</subject><subject>Eye Injuries - physiopathology</subject><subject>Female</subject><subject>Fluorescein Angiography</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Retina - injuries</subject><subject>Retina - physiopathology</subject><subject>Retinal Detachment - diagnosis</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - physiopathology</subject><subject>Retinal Pigment Epithelium - pathology</subject><subject>Tomography, Optical Coherence</subject><subject>Vision Disorders - pathology</subject><subject>Visual Acuity - physiology</subject><subject>Vitelliform Macular Dystrophy - diagnosis</subject><subject>Vitelliform Macular Dystrophy - etiology</subject><subject>Vitelliform Macular Dystrophy - physiopathology</subject><subject>Wounds, Nonpenetrating - diagnosis</subject><subject>Wounds, Nonpenetrating - etiology</subject><subject>Wounds, Nonpenetrating - physiopathology</subject><issn>0012-4486</issn><issn>1573-2622</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1v1DAQhi0EotvCD-CCLHHZHgIeO87HsaqWglRUDsDVcuzxNlUSB9sp7Jk_XkdbEELiZMl-5pkZv4S8AvYWGKvfRWCVEAUDUbQla4rmCdmArEXBK86fkg1jwIuybKoTchrjHWOsraF5Tk54ySTnXG7Ir92AJgXvzTL4fdAj3e5urs6p6yfbT_tI-4lqanRE6h3VZklI8edidervkc5-OIw-zLd-ifS-TzgMvfNhpKNefbNOtwe6vdh9_vbpnFpMuRVa6vww-B_ZTlPQy6hfkGdODxFfPp5n5Ov73ZfLD8X1zdXHy4vrwoiap8IZDl3lOCDUCJ0WKC02mK-Z7KrO2FraUrgOuICq4bUwWmJrpeOibDhrxRnZHr1z8N8XjEmNfTR5Zj1hXkBB_ioOLUiW0Tf_oHd-CVOebqVq1oiKN5mCI2WCjzGgU3PoRx0OCphaE1LHhFROSK0JqbXm9aN56Ua0fyp-R5IBfgRifpr2GP5q_V_rA_eMnH8</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Lee, Richard M. H.</creator><creator>Robson, Anthony G.</creator><creator>Hughes, Edward H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20131201</creationdate><title>Electrooculogram (EOG) findings in a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) detected following trauma</title><author>Lee, Richard M. H. ; Robson, Anthony G. ; Hughes, Edward H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-fc21b6f21e17e1ba3e5de8efc205b6bcd75d43fb123168273ca5e9d5f23482093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Accidents, Traffic</topic><topic>Acute Disease</topic><topic>Clinical Case Report</topic><topic>Electrooculography</topic><topic>Electroretinography</topic><topic>Exudates and Transudates</topic><topic>Eye Injuries - diagnosis</topic><topic>Eye Injuries - etiology</topic><topic>Eye Injuries - physiopathology</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Retina - injuries</topic><topic>Retina - physiopathology</topic><topic>Retinal Detachment - diagnosis</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - physiopathology</topic><topic>Retinal Pigment Epithelium - pathology</topic><topic>Tomography, Optical Coherence</topic><topic>Vision Disorders - pathology</topic><topic>Visual Acuity - physiology</topic><topic>Vitelliform Macular Dystrophy - diagnosis</topic><topic>Vitelliform Macular Dystrophy - etiology</topic><topic>Vitelliform Macular Dystrophy - physiopathology</topic><topic>Wounds, Nonpenetrating - diagnosis</topic><topic>Wounds, Nonpenetrating - etiology</topic><topic>Wounds, Nonpenetrating - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Richard M. H.</creatorcontrib><creatorcontrib>Robson, Anthony G.</creatorcontrib><creatorcontrib>Hughes, Edward H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Documenta ophthalmologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Richard M. H.</au><au>Robson, Anthony G.</au><au>Hughes, Edward H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrooculogram (EOG) findings in a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) detected following trauma</atitle><jtitle>Documenta ophthalmologica</jtitle><stitle>Doc Ophthalmol</stitle><addtitle>Doc Ophthalmol</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>127</volume><issue>3</issue><spage>255</spage><epage>259</epage><pages>255-259</pages><issn>0012-4486</issn><eissn>1573-2622</eissn><coden>DOOPAA</coden><abstract>Purpose
The purpose of this study was to monitor a case of acute exudative polymorphous vitelliform maculopathy detected following trauma.
Methods
Clinical examination included fundus photographs, optical coherence tomography (OCT) and fluorescein angiography. Pattern and full-field electroretinograms (PERG; ERG) and serial electrooculograms (EOG) were performed, incorporating the international standards.
Results
A 45-year-old Caucasian woman developed blurring of vision in both eyes 5 days after a serious road traffic accident. On examination, bilateral serous macular detachments and multiple small yellow subretinal lesions were observed in both eyes associated with areas of serous retinal detachment superior and inferior to the yellow lesions in the left eye. OCT showed retinal elevation with a band of high reflectance on the outer retina but no intra-retinal fluid or elevation of the retinal pigment epithelium (RPE). There was bilateral EOG reduction in keeping with generalised RPE dysfunction and pattern ERG evidence of left macular involvement. After 9 months, the patient reported spontaneous improvement in vision with gravitational settling and coalescence of the subretinal yellow deposits. At 37 months, there was improvement in the EOG and visual acuity.
Conclusions
A rare case of AEPVM is described that was detected following trauma and which gradually improved over 37 months. The EOG showed evidence of generalised RPE dysfunction that resolved and may be useful in the monitoring of AEPVM.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24052225</pmid><doi>10.1007/s10633-013-9408-8</doi><tpages>5</tpages></addata></record> |
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| subjects | Accidents, Traffic Acute Disease Clinical Case Report Electrooculography Electroretinography Exudates and Transudates Eye Injuries - diagnosis Eye Injuries - etiology Eye Injuries - physiopathology Female Fluorescein Angiography Humans Medicine Medicine & Public Health Middle Aged Ophthalmology Retina - injuries Retina - physiopathology Retinal Detachment - diagnosis Retinal Detachment - etiology Retinal Detachment - physiopathology Retinal Pigment Epithelium - pathology Tomography, Optical Coherence Vision Disorders - pathology Visual Acuity - physiology Vitelliform Macular Dystrophy - diagnosis Vitelliform Macular Dystrophy - etiology Vitelliform Macular Dystrophy - physiopathology Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - etiology Wounds, Nonpenetrating - physiopathology |
| title | Electrooculogram (EOG) findings in a case of acute exudative polymorphous vitelliform maculopathy (AEPVM) detected following trauma |
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