Serous retinal detachment: Behind the scenes

Claudio Iovino Clemente M. Iodice

A 37-year-old healthy male presented with a 5-day history of blurred vision in the right eye. Medical and ocular histories were unremarkable, and the patient was not taking any medications. On examination, visual acuity was 20/250 in the right eye and 20/20 in the left eye; anterior segment examination was within normal limits in both eyes. Based on multimodal imaging evaluation a diagnosis of Atypical Bullous Acute form of CSC was made. In four weeks the massive subretinal fluid completely reabsorbed without any medication.

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Fish Tail flecks

Giacomo Boscia Enrico Borrelli Michele Reibaldi

A 55-year-old male patient was referred to our medical retina unit for bilateral vision loss occurred in the last year. Fundus examination revealed bilateral macular atrophy with foveal sparing surrounded by yellowish ‘fish tail flecks’ all over the posterior pole. SD-OCT, FAF, FA and ERG were performed. Genetic evaluation confirmed diagnosis of Stargardt Disease.

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FAST DROP IN VISUAL ACUITY IN A 47 YEARS OLD MALE: SLOW DOWN WITH THE YELLOW!

Stefano Mercuri Daniela Bacherini Gianni Virgili Fabrizio Giansanti

Acute syphilitic posterior placoid chorioretinitis (ASPPC) is a rare disease which may resemble many other retinal diseases.Multimodal imaging is important for diseases characterization, and new techniques may aid us in the understanding of their etiopathogenesis.
Accurate patient’s medical patient history is fundamental to spot the correct diagnosis as soon as possible with the purpose to avoid ocular complications and complications linked to syphilis progression.

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All that glitters is not gold

The case of a 29 female patient complaining bilteral progressive vision loss. No medical hystory. Thanks to multimodal imaging, it was possible to identify the diagnosis of Bietti Crystalline Distrophy, which is an autosomal recessive disease, due to the mutation in the CYP4V2 gene.

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