1. Punctate Inner Choroidopathy
Roberto Aguilar Galan, MD, PhD.
Complejo Hospitalario de Huelva, octubre 2.016

2. Punctate Inner Choroidopathy (PIC)
Idiopathic inflammatory disorder of the choroid predominantly in young myopic females (90%)
Bilateral white-yellow chorioretinal lesions of the posterior pole. No vitritis associated

3. Case report
36 years old female with OS BCVA = 2/3 and a central scotomata

4. FAG

7. Differential diagnosis
Infectious uveítis
Sarcoidosis
Birdshot
Serpiginous choroiditis

8. Follow up One month later: OS BCVA= ¼
Parafoveal Choroidal NeoVascularization (CNV) with peripherical white dots -> PIC
Ranibizumab IVT (x5) -> OS BCVA = 1. Paramacular and nasal atrophic scars, with a halo of depigmentation

12. Prognosis
Uncertain: Good in the absence of CNV (BCVA >20/25). Course usually self-limited with recurrences common
The two major causes of visual loss are CNV and subretinal fibrosis

13. Thanks so much