Journal of the Formosan Medical Association
Volume 106, Issue 6 , Pages 490-494, 2007

Reticular Dystrophy of the Retinal Pigment Epithelium

  • Muh-Shy Chen

      Affiliations

    • Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Muh-Shy Chen, Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, 7 Chung-Shan South Road, Taipei 100, Taiwan
    • ,
  • Ching-Chung Chang

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Tzu-Hsun Tsai

      Affiliations

    • Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • I-More Fan

      Affiliations

    • Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
    • ,
  • Ping-Kang Hou

      Affiliations

    • Department of Ophthalmology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan

Received 13 July 2006; received in revised form 5 October 2006; accepted 7 November 2006.

A laser flare-cell meter was used to examine blood-aqueous barrier function in a 57-year-old male patient who had typical reticular dystrophy of the retinal pigment epithelium with a bilateral hyperpigmented reticular pattern at the posterior pole in both eyes. Fluorescein angiography showed hypofluorescent reticular net resembling a fishing net with knots associated with a central diffuse hyperfluorescence. Dark adaptation test revealed that the final rod threshold was elevated. Laser photometry showed an increase in the aqueous flare intensity in both eyes, as compared to the results in normal subjects. Quantitative measurement of the aqueous flare intensity by a laser flare-cell meter might indicate abnormalities in the blood-aqueous barrier in patients with reticular dystrophy of the retinal pigment epithelium.

Key Words:  blood-aqueous barrier , reticular dystrophy of the retinal pigment epithelium

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PII: S0929-6646(09)60299-0

doi:10.1016/S0929-6646(09)60299-0

Journal of the Formosan Medical Association
Volume 106, Issue 6 , Pages 490-494, 2007

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