Retinal phlebitis complicated by punctate inner choroidopathy-like lesions: a case report.

Mami Ota, Shuichiro Aoki, Kohdai Kitamoto, Ryo Terao, Rie Tanaka, Keiko Azuma

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Article in American journal of ophthalmology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Mami OtaDepartment of Ophthalmology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Shuichiro AokiDepartment of Ophthalmology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Kohdai KitamotoDepartment of Ophthalmology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Ryo TeraoDepartment of Ophthalmology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Rie TanakaDepartment of Ophthalmology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Keiko AzumaDepartment of Ophthalmology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Punctate inner choroidopathy (PIC) is characterized by multiple punctate lesions in the posterior pole. PIC-like lesions have been reported in association with other chorioretinal pathologies. We report a case of retinal phlebitis presenting with multiple PIC-like lesions along retinal veins. Case presentation: A 37-year-old man presented with a one-month history of metamorphopsia in his left eye. Fundus examination and optical coherence tomography revealed PIC-like lesions distributed along the retinal veins in the posterior pole, while fluorescein angiography demonstrated leakage from the retinal veins. Choroidal neovascularization (CNV) was identified near the fovea. Treatment with oral prednisolone and sub-Tenon triamcinolone acetonide injections controlled the inflammation, and intravitreal aflibercept injections managed the CNV. At the two-year follow-up, the corrected visual acuity improved to 1.2. Conclusion: The distribution of lesions along the retinal veins suggests that this case represents a presentation of PIC-like lesions secondary to retinal phlebitis.

Indexed as

Choroidal neovascularizationPIC-Like lesionPunctate inner choroidopathyRetinal phlebitis

Identifiers

PMID41281265

DOI10.1016/j.ajoc.2025.102467

PMCPMC12639375

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