Spontaneous involution of choroidal neovascularization secondary to rubella retinopathy.

摘要

Rubella retinopathy is the most frequent ocular complication in children whose mothers contracted rubella during pregnancy.1 In these children, there are retinal pigment epithelium (RPE) alterations and visual acuity is usually not affected.2 However, severe vision loss may occur secondary to choroidal neovascularization (CNV).1"3 Herein, we report an unusual outcome of a case of CNV associated with rubella retinopathy, with emphasis on optical coherence tomography (OCT) features.A 10-year-old girl was referred because of poor vision in her right eye for four weeks. Her mother contracted rubella during pregnancy. At birth, neither ocular nor systemic abnormalities were detected. At presentation, visual acuity was 20/200 in both eyes. A serohaemorrhagic elevation of the macula was seen in the right eye, and there was a whitish subretinal lesion in the left fovea. Mottling of the RPE was evident in both eyes. Fluorescein angiography showed an active subf oveal neovascular lesion in the right eye and staining of the subretinal lesion in the left (Figure 1).