Dr.ANIKET RAI

Dr. khushboo Chawla

Abstract

Punctate inner choroidopathy (PIC) is a rare bilateral multifocal chorioretinopathy. The current etiology is unknown but is thought to have familiar predisposition to autoimmune/ inflammatory diseases with response against antigens in the outer retina and inner choroid. We report a rare case of Choroidal neovascular membrane(CNVM) in a young 24 year female secondary to PIC with BCVA of 6/60 in right eye. Fundus examination reveals a greyish green (CNVM) at the macula with a central yellow area suggestive of a scar. Multiple, round and yellowish choroidal lesions superior and inferior to the optic nerve, without any signs of intraocular inflammation.Laboratory investigations were done to rule out other cause of multifocal choroiditis. Treatment was done with intravitreal antiVEGF injections. Thus,CNVM in a young patient should be evaluated in detail for the root cause.CNVM secondary to PIC usually gives a good visual prognosis when diagnosed early and timely treated.