Angioid Streaks and Systemic Pathologies: Is This Association Always There?
Thiago Sande Miguel
Universidade Federal Fluminense, Brazil.
Vinicius Sande Miguel
Universidade do Grande Rio, Brazil
Daniel Almeida Da Costa *
Centro Universitário de Valença, Brazil.
Maurício Bastos Pereira
Universidade Federal Fluminense, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Aims :To describe Angioid Streaks and Systemic Pathologies
Presentation of Case: T.A.N., male, 32 years old, lawyer, born in Rio de Janeiro, attends the routine ophthalmologic appointment without specific ophthalmologic complaints.
In her previous pathological history, he claims not to have systemic comorbidities. Denies diabetes, eye trauma, previous eye surgeries and any eye pathologies. Denies previous ophthalmologic procedures, daily use of eye drops and family members with a history of glaucoma.
Discussion: The patient in the report, up to the time of the consultation, claimed not to be aware of any systemic pathology and did not present any ocular complaints, not even knowing the findings of his fundus examination. Systemic associations should always be considered when diagnosing Angioid Streaks on funduscopy. Patients with Pseudoxanthoma Elasticum must have their follow-up done in parallel with the dermatology service. Patients with hemoglobinopathies should be immediately referred for diagnostic clarification with the medical clinic team
Conclusions: It is essential that specialists are familiarized with the peculiar appearance , their potential to produce retinal and subretinal complications and, especially, remember that this finding in funduscopy can be unique without being associated with systemic diseases.
Keywords: Blood dyscrasia, angioid streaks, elastic pseudoxanthoma, Choroid neovascularization, Retinography