To report an unusual case of gravitational atrophic tract of the retinal pigment epithelium in a 20-year old woman.
Methods
Case report
Results
The patient had macular cicatricial congenital toxoplasmic chorioretinitis in both eyes. In the right eye, an atrophic tract of the retinal pigment epithelium originating from the upper margin of the macular scar extended upwards toward the retinal periphery.
Conclusion
The unusual upward direction of the atrophic tract of retinal pigment epithelium may be explained by the in utero head position during the active phase of the chorioretinal disease.
HautJ., Sobel-MartinA., DureuilJ., LarricartP., SarnikowskiC.. Atrophies «like flows» of the Retinal Pigment Epithelium. A Neuroepithelium - Draining Method of the Posterior Pole.Ophthalmologica Basel,1984; 189: 121–7.
6.
GassJ.D.M.. Stereoscopic atlas of macular diseases and treatment, 4th ed.St Louis, CV Mosby, 1997; 52–70.
7.
BosP.J.M., DejongP.T.U., GreveE.L.. Watershed zone degeneration, a clinical syndrome? Proc Int Symp Fluorescein Angiography.Doc Ophthalmol1976; 9: 253–9.
