Exudative retinal detachment in relapsing polychondritis : case report and literature review

Ophthalmology. 2001 Jun;108(6):1156-9. doi: 10.1016/s0161-6420(01)00568-1.

Abstract

Objective: To report the atypical ocular symptoms (arterialized conjunctival vessels, exudative retinal detachment) that can be the presenting manifestations of relapsing polychondritis.

Design: Observational case report and literature review.

Methods: A complete ocular and systemic evaluation was performed on a patient with relapsing polychondritis and exudative retinal detachment.

Main outcome measures: Retinal, choroidal, and scleral findings.

Results: A 73-year-old man with relapsing polychondritis presented with a unilateral large bullous exudative retinal detachment and marked choroidal and scleral thickening bilaterally.

Conclusions: Ophthalmologists should consider relapsing polychondritis in the differential diagnosis of exudative retinal detachment. A combination of echographic and laboratory findings can assist in the accurate diagnosis of this rare condition.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Aged
  • Choroid Diseases / diagnostic imaging
  • Conjunctiva / blood supply
  • Exudates and Transudates
  • Fluorescein Angiography
  • Humans
  • Male
  • Polychondritis, Relapsing / diagnosis*
  • Retinal Detachment / diagnosis*
  • Scleral Diseases / diagnostic imaging
  • Ultrasonography