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Punctate Inner ChoroidopathY


According to Prof. Kanski: Punctate Inner Choroidopathy affects young healthy myopic women.

Presentation is with an acute onset of scotomata and photopsia.

Examination shows scattered, small, yellow or grey, inner choroidal lesions at the posterior pole. A serous retinal detachment may develop in some cases where the lesions are plentiful.There is no associated anterior uveitis or vitritis.

Treatment in most cases, is not required and the visual prognosis is good. the acute lesions resolve within a few weeks to leave behind sharply demarcated atrophic scars which may resemble those associated with histoplasmosis.With time the scars may enlarge and become pigmented.In a few cases secondary choroidal neovascularization develops in association with a scar and requires laser photocoagulation.

Useful Links

Features of PIC, treatment and results Features

Surgical removal of
subfoveal neovascular membranes in young patients with different disorders

Photodynamic therapy
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Myopic MD:Partial reverse

Brian's story
Information on treatment for macular degeneration

Hope for the future

Translocation of retina
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PKC412
A new drug that halts the growth of abnormal blood vessels

proton-beam
A proton-beam is more concentrated than a regular laser and delivers increased energy to a smaller target

Rheotherapy/Rheopheresis
A treatment for macular degeneration that "cleans" the blood to remove toxic protein and waste material that hinder blood flow, thus increasing capillary blood flow to the macula.

Visudyne Therapy
Trials are being conducted to determine the effectiveness of Visudyne therapy in patients with a distinct condition of abnormal blood vessels associated with progressive near-sightedness known as pathologic myopia.

The Retinal Implant



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