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COMMENTARY
Year : 2018  |  Volume : 66  |  Issue : 12  |  Page : 1876

Commentary: Posterior polarannular and hemispheric choroidal and retinal dystrophy: Optical coherence tomographic angiography description of a rare case


Department of Ophthalmology, Kettering, Kettering General Hospital, England, United Kingdom

Date of Web Publication19-Nov-2018

Correspondence Address:
Dr. Raminder Singh
Kettering General Hospital, England
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1072_18

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How to cite this article:
Singh R. Commentary: Posterior polarannular and hemispheric choroidal and retinal dystrophy: Optical coherence tomographic angiography description of a rare case. Indian J Ophthalmol 2018;66:1876

How to cite this URL:
Singh R. Commentary: Posterior polarannular and hemispheric choroidal and retinal dystrophy: Optical coherence tomographic angiography description of a rare case. Indian J Ophthalmol [serial online] 2018 [cited 2019 Jul 22];66:1876. Available from: http://www.ijo.in/text.asp?2018/66/12/1876/245601



During our routine practice, we become busy in a set clinical atmosphere and sometimes ‘see’ what we already have on the back of our minds. The patient may not be responding to a treatment as our diagnosis probably requires a revision. In such scenarios, the case reports of such rare cases are helpful for reference and planning management. In the paper ‘Posterior Polar Annular and Hemispheric Choroidal and Retinal Dystrophy: Optical Coherence tomography angiography description of a rare case’,[1] author/s have described a recently reported retinal disease, posterior polar hemispheric choroidal dystrophy,[2] and commented on its classification that seems plausible. The two separate entities described of the similar condition may actually be one condition with different extent. It seems all the more reasonable to think so, if you find the similar condition in a single person. It is quite possible that the hemispheric dystrophy may progress to annular dystrophy, but without a cohort study with a long-term follow-up, commenting on it is a mere speculation than a conclusion. The optical coherence tomography, electroretinogram, and autofluorescence findings do suggest it being a single condition with possible temporal separation.

The take home message from this report would be, to think, think out of the box. Sometimes the picture presenting to us may be a part of spectrum of disorders, which may previously been described at a different level of progression. The similarity of investigations and symptoms/signs could signpost us to such a possible conclusion.



 
  References Top

1.
Narayanan R. Posterior polar annular and hemispheric choroidal and retinal dystrophy: Optical coherence tomographic angiography description of a rare case. Indian J Ophthalmol 2018;66:1874-6.  Back to cited text no. 1
  [Full text]  
2.
Yannuzzi LA, editor. Posterior Polar Hemispheric Choroidal Dystrophy. The Retina Atlas. Elsevier: Saunders; 2010. p. 85.  Back to cited text no. 2
    




 

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