A 54-year-old female presented with congenital hearing loss and pigmentary retinopathy.
She was diagnosed with congenital rubella retinopathy. Visual acuity was 20/25 in
both eyes. Fundus examination showed bilateral granular pigmentary mottling in all
4 retinal quadrants in both eyes (Fig. A) corresponding to hypoautofluorescent spots on wide-field imaging (Fig. B). Optical coherence tomography angiography showed increased choroidal vessel rarefaction
at the level of the choriocapillaris (left, blue arrows) and nummular hyperreflective
lesions on scanning laser ophthalmoscopy near-infrared imaging (right) (Fig. C, yellow arrows). Corresponding retinal pigment epithelium and ellipsoid corrugations
were seen on optical coherence tomography (top, red arrows) with increased flow transmission
on B scans (bottom, green arrows) (Fig. D).
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Article info
Publication history
Published online: July 06, 2022
Accepted:
June 10,
2022
Received in revised form:
June 8,
2022
Received:
May 15,
2022
Identification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.