Retinal and choroidal abnormalities identified by multispectral imaging in patients with uveitis: Three case reports
Authors and their organizations：
Lei Feng 1, Gong-Lin Fan 2, Jie Zhang 3, Xiao Wang 4, Jiang Zhu 2
1Eye Center, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou.
2Department of Ultrasound, Sir Run Run Shaw Hospital, College of Medicine Zhe Jiang University, Hangzhou.
3Department of Ophthalmology, Shanghai Jiao Tong University School of Medicine, Shanghai.
4Department of Ultrasound, The Fourth Affiliated Hospital Zhejiang University School of Medicine, Yiwu, China.
Introduction:
Multispectral imaging (MSI) shows increasing strengths in detection of retinal and choroidal disease. The aim of this study was to evaluate the capacity of javascript:void(0), detecting retinal and choroidal abnormalities of uveitis which have not been described previously.
Patient concerns:
The first case was a 49-year-old male patient who presented with visual disturbance and metamorphopsia in both eyes for 5 days, companying by a history of headache and hearing loss recently. The second case was related to a 45-year-old female patient who complained of blurred vision and a dark shadow before her right eye for 3 months. The third case corresponded to a 36-year-old male patient who presented with blurred vision and slight pain in his left eye for >1 week, and his blood tested positive for syphilis.
Diagnosis:
Three Chinese patients with representative kind of uveitis were described in the study, including Vogt-Koyanagi-Harada syndrome, posterior uveitis with choroidal neovascularization, and syphilis-infected uveitis. Each affected eye had corresponding retinal and choroidal abnormalities evaluated by multiple ophthalmologic examinations.
Interventions:
Case 1 was treated with oral prednisone at a dose of 1 mg/kg/d started at the early stage and then slowed tapering of the prednisone dose based on follow-up examinations. Case 2 received anti-VEGF treatment. Case 3 received the standard treatment for neurosyphilis.
Outcomes:
Due to timely diagnosis and treatment, all patients had a better prognosis.
Conclusion:
MSI provides a novel way to view retinal and choroidal abnormalities of uveitis, and may provide a supplemental method to morphological changes.
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