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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Acute idiopathic blind spot enlargement syndrome associated with choroidal neova...
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Vol. 88. Issue 11.
Pages 450-452 (November 2013)
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Vol. 88. Issue 11.
Pages 450-452 (November 2013)
Short communication
Acute idiopathic blind spot enlargement syndrome associated with choroidal neovascularization
Síndrome de aumento agudo idiopático de mancha ciega asociado a neovascularización coroidea
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B. Macías-Murelaga
Corresponding author
beatriz19es@hotmail.com

Corresponding author.
, I. Rodriguez-Agirretxe, L. Bascarán, N. Goñi, J. Mendicute
Servicio de Oftalmología, Hospital Donostia, Donostia-San Sebastián, Spain
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Abstract
Clinical case

A 17-year-old female presented with photopsia and a sudden loss of visual field in left eye (OS), with previous contralateral choroidal neovascularization. The examination suggested an acute idiopathic blind spot syndrome. The progress without treatment was favorable, with a reduction in the scotoma and without a worsening of her visual acuity.

Discussion

This case report is about an unusual and benign syndrome, typical of young women. Differential diagnosis must be made between the evanescent white dot syndrome and the acute zonal occult outer retinopathy. To our knowledge, this is the first published case associated with choroidal neovascularization, a fact that leads us to question its benignancy.

Keywords:
Blind spot enlargement
Choroidal neovascularization
Papillary hyperfluorescency
Inflammatory choroidopathy
Acute idiopathic blind spot enlargement syndrome
Resumen
Caso clínico

Mujer de 17 años que consulta por fotopsias y escotoma en OI, con antecedente de neovascularización coroidea contralateral. La exploración sugiere un síndrome de aumento agudo idiopático de mancha ciega. La evolución sin tratamiento es favorable, con disminución del escotoma y sin empeoramiento de su agudeza visual.

Discusión

El síndrome de aumento agudo idiopático de mancha ciega es un síndrome raro y benigno, propio de mujeres jóvenes. Se debe hacer un diagnóstico diferencial con el síndrome de puntos blancos evanescentes y la retinopatía aguda zonal externa oculta. Tras revisar la bibliografía, no hemos hallado ningún caso descrito previamente en asociación con la neovascularización coroidea, hecho que nos obliga a cuestionarnos su benignidad.

Palabras clave:
Aumento de mancha ciega
Neovascularización coroidea
Hiperfluorescencia papilar
Coroidopatía inflamatoria
Síndrome de aumento de mancha ciega idiopática aguda

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