Document Detail


Benign fleck retinal findings on multifocal ERG, microperimetry, and OCT.
MedLine Citation:
PMID:  21053867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A middle-aged asymptomatic woman presented with multiple yellow-white flecks in the retinal pigment epithelium (RPE) affecting both fundi in a symmetrical pattern. The lesions were distributed around the posterior pole and midperiphery but sparing the macula, a picture similar to what was defined by Gass as benign fleck retina. Visual acuity, visual fields, full-field electroretinogram, electrooculogram, and dark adaptation were normal. Multifocal electroretinogram [0] (mfERG) was slightly subnormal in the isopters 17° to 20°. In this same area, microperimetry confirmed a mild decrease in sensitivity more patent in the upper temporal sector where some hypoautofluorescent spots were detected. Optical coherence tomography (OCT) obtained through the flecks revealed a small increase in the thickness of the RPE. Autofluorescence showed increased autofluorescence within the flecks. OCT confirmed the anatomical location of the defect, whereas mfERG and microperimetry demonstrated for the first time that benign fleck retina can entail a functional defect.
Authors:
Alicia Galindo-Ferreiro; M Rosa Sanabria; Eduardo Pérez-Salvador Garcia; Rosa Maria Coco-Martin; Julio Galindo-Alonso; Jesus Palencia-Ercilla
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-10-28
Journal Detail:
Title:  Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye     Volume:  41 Online     ISSN:  1938-2375     ISO Abbreviation:  Ophthalmic Surg Lasers Imaging     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-08     Completed Date:  2011-03-10     Revised Date:  2011-09-15    
Medline Journal Info:
Nlm Unique ID:  101155780     Medline TA:  Ophthalmic Surg Lasers Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1-5     Citation Subset:  IM    
Copyright Information:
Copyright 2010, SLACK Incorporated.
Affiliation:
Complejo Asistencial de Palencia, Palencia, Spain.
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MeSH Terms
Descriptor/Qualifier:
Electroretinography / methods*
Female
Fluorescence
Fundus Oculi
Humans
Middle Aged
Retinal Diseases / diagnosis*
Retinal Pigment Epithelium / pathology
Tomography, Optical Coherence*
Visual Field Tests*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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