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Peripheral exudative hemorrhagic chorioretinopathy

Gibran Khurshid
No abstract text is available yet for this article.
April 13, 2017: JAMA Ophthalmology
Zafer Cebeci, Yasemin Dere, Şerife Bayraktar, Samuray Tuncer, Nur Kır
OBJECTIVES: To evaluate the clinical characteristics of patients who were followed in our clinic with the diagnosis of peripheral exudative hemorrhagic chorioretinopathy (PEHC). MATERIALS AND METHODS: Medical records of 12 patients who were diagnosed with PEHC in İstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology between July 2006 and June 2014 were reviewed retrospectively. RESULTS: This study included 21 eyes of 12 patients...
October 2016: Turkish Journal of Ophthalmology
Brijesh Takkar, Sangeeta Roy, Preet Kanwar Singh Sodhi, Shorya Azad, Gurkirat Singh Bajwa
To report a case of peripheral exudative hemorrhagic chorioretinopathy (PEHCR) associated with extramacular choroidal neovascular membrane (CNVM). A 65-year-old female with BCVA of 3/60 in the RE was diagnosed to have PEHCR with peripheral CNVM. She had subretinal fluid in the macular region. The patient was treated successfully with a single dose of intravitreal bevacizumab followed by laser photocoagulation of the CNVM. BCVA was 6/24 after 3 months and subretinal fluid had resolved. PEHCR may be associated with extramacular CNVM and hence may cause visual loss...
April 2017: International Ophthalmology
Ira Seibel, Annette Hager, Tobias Duncker, Aline I Riechardt, Daniela Nürnberg, Julian P Klein, Matus Rehak, Antonia M Joussen
INTRODUCTION: The purpose of this study was to describe the anatomical and functional outcome of vascular endothelial growth factor inhibitor (anti-VEGF) treatment in symptomatic peripheral exudative hemorrhagic chorioretinopathy (PEHCR) involving the macula. METHODS: Clinical records from patients seen between 2012 and 2013 at a single academic center were reviewed to identify PEHCR patients receiving anti-VEGF therapy due to disease-associated changes involving the macula...
April 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
Fariba Ghassemi, Fatemeh Bazvand, Seyedeh Simindokht Hosseini
PURPOSE: To report the diagnoses of lesions initially misdiagnosed as ocular melanoma. METHODS: This retrospective study included all new patients who were referred with a presumptive diagnosis of choroidal melanoma to the ocular oncology clinic at Farabi Eye Hospital from January 2009 to December 2012. Each patient underwent a full ocular examination and B-scan ultrasonography by an ocular oncologist. The final diagnosis was made based on a combination of clinical features, fluorescein angiography, indocyanine green angiography, optical coherence tomography, neuroimaging and biopsy when necessary...
January 2014: Journal of Ophthalmic & Vision Research
Carol L Shields, Janet Manalac, Chandana Das, Kyle Ferguson, Jerry A Shields
PURPOSE OF REVIEW: To review the current features and classification of choroidal melanoma, and to identify the lesions that clinically simulate choroidal melanoma (pseudomelanoma). RECENT FINDINGS: Uveal melanoma is a serious life-threatening intraocular malignancy, most often found in Caucasians (98%) and primarily involving the choroid (90%), ciliary body (7%), or iris (2%). This review will concentrate on choroidal melanoma. At diagnosis, choroidal melanoma usually appears as a pigmented (85%) tumor underlying the retina with a median basal dimension of 11 mm and a mean thickness of 4...
May 2014: Current Opinion in Ophthalmology
Arman Mashayekhi, Carol L Shields, Jerry A Shields
PURPOSE: To report a case of peripheral exudative hemorrhagic chorioretinopathy (PEHCR) in an elderly patient. CASE REPORT: A 74-year-old Caucasian woman, with a 20-year history of a stable choroidal nevus in her right eye, was referred for evaluation of two small hemorrhagic pigment epithelial detachments (PEDs) affecting the temporal peripheral fundus of the same eye. Nine months later, the lesions became larger and indocyanine green angiography revealed polypoidal choroidal vascular changes corresponding to the location of the ophthalmoscopically visible PEDs...
July 2013: Journal of Ophthalmic & Vision Research
Darin R Goldman, K Bailey Freund, Colin A McCannel, David Sarraf
PURPOSE: Polypoidal choroidal vasculopathy (PCV) is characterized by polyp-like sub-retinal pigment epithelium vascular abnormalities predominantly found in the macula and peripapillary region. Less commonly, PCV can be found peripherally and be a cause of peripheral exudative hemorrhagic chorioretinopathy (PEHCR). We sought to further describe the clinical spectrum of this ill-defined subgroup of PEHCR. METHODS: A retrospective observational case series, of 10 eyes of 8 patients diagnosed with PEHCR caused by peripheral PCV, was conducted...
January 2013: Retina
Kei Takayama, Tosio Enoki, Teruo Kojima, Sho Ishikawa, Masaru Takeuchi
Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is a rare disorder that sometimes causes sudden subretinal and/or vitreous hemorrhage. Choroidal neovascularization is involved in the pathogenesis, but the etiology is unknown. Treatments with photocoagulation, cryopexy, and intravitreal bevacizumab injection have been reported. However, the therapeutic effect of intravitreal injection with ranibizumab for PEHCR is unclear. A 70-year-old woman visited our department because of sudden loss of superior visual field in her left eye...
2012: Clinical Ophthalmology
Irmela Mantel, Ann Schalenbourg, Leonidas Zografos
PURPOSE: To investigate choroidal vascular abnormalities in peripheral exudative hemorrhagic chorioretinopathy, using dynamic ultrawide-field fluorescein angiography (FA) and indocyanine green angiography (ICGA). DESIGN: Prospective observational case series. METHODS: This institutional study comprised a consecutive series of 40 patients (48 eyes) with peripheral exudative hemorrhagic chorioretinopathy. Choroidal vascular abnormalities were assessed with dynamic ultrawide-field (150-degree) FA and ICGA, using the Staurenghi 230 SLO Retina Lens and the Heidelberg scanning laser ophthalmoscope...
May 2012: American Journal of Ophthalmology
Pukhraj Rishi, Atheeswar Das, Pallavi Sarate, Ekta Rishi
A 69-year-old lady presented with complaints of decreased vision in left eye since one month. Best Corrected Visual Acuity (BCVA) was 6/18 in that eye. Fundus examination revealed non-central geographic atrophy and soft drusens at macula in both eyes. Temporal periphery of left eye revealed subretinal exudates with altered sub-RPE hemorrhage mimicking peripheral exudative hemorrhagic chorioretinopathy (PEHCR). Fundus Fluorescein Angiogram showed window defects at macula and blocked fluorescence at temporal periphery in left eye...
January 2012: Indian Journal of Ophthalmology
Andrew J Barkmeier, Huseyin Kadikoy, Eric R Holz, Petros E Carvounis
PURPOSE: To describe a case of exudative macular detachment secondary to peripheral exudative chorioretinopathy with a favorable anatomic and visual outcome following treatment with intravitreal bevacizumab. METHODS: The medical records of a patient with peripheral exudative chorioretinopathy were reviewed. RESULTS: Macular reattachment was achieved with a corresponding visual acuity improvement that was maintained over an uncomplicated 17-month clinical course...
July 2011: European Journal of Ophthalmology
Yun Taek Kim, Se Woong Kang, Jeong-Hee Lee, Song Ee Chung
BACKGROUND: Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is a rare condition characterized by either subretinal exudates or subretinal hemorrhage outside the macula. The objective of this case report is to describe PEHCR lesions in Korean patients. CASES: Five eyes of four patients are reviewed. OBSERVATIONS: All cases were characterized by either peripheral subretinal exudates or hemorrhage with age-related degeneration. Four of the lesions appeared as subretinal masses, and the other manifested as a large retinal pigment epithelial alteration combined with subretinal exudates and subretinal fibrosis...
May 2010: Japanese Journal of Ophthalmology
J-P Caujolle, P Gastaud
Not all intraocular pigmented lesions are melanomas or nevi. In this article, we present what we classically consider to be the main pigmented stains other than melanomas and nevi and their possible forms of treatment. Regarding tumor-related stains, we describe melanocytomas, congenital hypertrophy or reactive hyperplasia of the retinal pigment epithelium, combined hamartoma of the retina and retinal pigment epithelium, and acquired vascular pseudotumors. Among the hemorrhage-related stains, we present pseudotumoral age-related macular degeneration, peripheral exudative and hemorrhagic chorioretinopathy, choroidal hematoma, and rupture of macroaneurysms...
February 2010: Journal Français D'ophtalmologie
Irmela Mantel, Sylvie Uffer, Leonidas Zografos
PURPOSE: To describe the clinical and angiographic characteristics of peripheral exudative hemorrhagic chorioretinopathy, an uncommon chorioretinal mass lesion, important for its differential diagnosis to choroidal melanoma, but only rarely described in the literature. DESIGN: Retrospective, institutional chart review. METHODS: Institutional chart review of 45 patients (56 eyes) diagnosed with peripheral exudative hemorrhagic chorioretinopathy to describe the clinical findings and those obtained by fluorescein angiography (FA) and indocyanine green angiography (ICGA), in addition to a review of the histologic findings of an enucleated eye...
December 2009: American Journal of Ophthalmology
A Mirshahi, F Höhn, H Baatz, M Müller, L-O Hattenbach
BACKGROUND: Peripheral exudative haemorrhagic chorioretinopathy (PEHCR) is a degenerative disease of the peripheral retina and choroid in the elderly. Although PEHCR is often seen by clinicians, this entity is underrepresented in the ophthalmological literature. This may be due to inconsistent naming. PATIENTS: We present the clinical, ultrasonographic and angiographic findings of 11 eyes of 8 patients who were diagnosed with PECHR in our department between January 2006 and June 2008...
August 2009: Klinische Monatsblätter Für Augenheilkunde
Irena Tsui, Atul Jain, Sumit Shah, Steven D Schwartz, Tara A McCannel
Age related macular degeneration usually affects the macular region, but there is a rare peripheral counterpart known as peripheral exudative hermorrhagic chorioretinopathy (PEHCR). We employed ultra widefield imaging techniques to follow four patients with PEHCR. Accurate photographic documentation may be helpful in monitoring growth in order to distinguish PEHCR from potentially treatable or life-threatening lesions such as choroidal metastatic tumors or primary choroidal melanoma.
January 2009: Seminars in Ophthalmology
Carol L Shields, Pedro F Salazar, Arman Mashayekhi, Jerry A Shields
PURPOSE: To evaluate the clinical features and outcomes of eyes with peripheral exudative hemorrhagic chorioretinopathy (PEHCR) simulating choroidal melanoma. DESIGN: Noncomparative case series. PARTICIPANTS: A total of 173 eyes in 146 patients. METHODS: Retrospective chart review. MAIN OUTCOME MEASURES: Clinical features and outcome. RESULTS: All cases were referred for possible choroidal melanoma...
March 2009: Ophthalmology
Ramesh Murthy, Santosh G Honavar
Vasoproliferative retinal tumors are benign tumors of unknown origin that generally affect healthy persons between their fourth and sixth decades and may lead to severe vision loss as a result of intraretinal hemorrhages and exudates. They must be differentiated from retinal capillary hemangiomas of von Hippel-Lindau disease, retinal astrocytoma, Coats disease, peripheral exudative hemorrhagic chorioretinopathy, choroidal melanomas, and retinal/choroidal metastasis. We describe a case of unilateral vasoproliferative retinal tumor associated with retinitis pigmentosa in a patient with Usher syndrome type 1...
February 2009: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
N Collaer, C James
Report of two patients presenting with peripheral exudative hemorrhagic chorioretinopathy, an underrecognized, possible sight-threatening condition. Thorough examination of the peripheral fundus remains the key factor in recognizing this disease. The greatest immediate risk for the patient is an incorrect diagnosis of suspected choroidal melanoma.
2007: Bulletin de la Société Belge D'ophtalmologie
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