Coroidopatía punctata interna complicada con desprendimiento neurosensorial exudativo: respuesta favorable al tratamiento con corticoides y ranibizumab intravítreo / Punctate inner choroidopathy complicated with exudative neurosensory detachment: A favourable response to treatment with systemic corticosteroids and intravitreal ranibizumab

Caso clínico: La coroidopatía punctata interna (CPI) es una modalidad de coroiditis multifocal que suele afectar a mujeres jóvenes sanas. Describimos un caso de dicha entidad en una paciente que consultó por presentar un escotoma. Cuatro meses después de realizársele el diagnóstico de CPI, desarrolló un desprendimiento neurosensorial exudativo asociado a un foco activo de coroiditis yuxtafoveolar. Finalmente, con corticoides sistémicos y ranibizumab intravítreo presentó una buena evolución. Discusión: Ranibizumab intravítreo, junto con corticosteroides sistémicos, puede ser un tratamiento efectivo para casos de desprendimiento neurosensorial exudativo que se presentan como complicación de la CPI (AU)

Case report: Punctate inner choroidopathy (PIC) is a variant of multifocal choroiditis that principally affects young and healthy women. A case of this condition is described in a woman who presented with a scotoma as the main complaint. Four months after the diagnosis of PIC, she developed an exudative neurosensory detachment associated with an active focus of juxtafoveal choroiditis. Finally, with systemic corticosteroids and intravitreal ranibizumab, she made excellent progress. Discussion: Intravitreal ranibizumab, associated with systemic corticosteroids, may be an effective treatment for exudative neurosensory detachment complicating PIC (AU)

Punctate inner choroidopathy complicated with exudative neurosensory detachment: A favourable response to treatment with systemic corticosteroids and intravitreal ranibizumab. / Coroidopatía punctata interna complicada con desprendimiento neurosensorial exudativo: respuesta favorable al tratamiento con corticoides y ranibizumab intravítreo.

CASE REPORT: Punctate inner choroidopathy (PIC) is a variant of multifocal choroiditis that principally affects young and healthy women. A case of this condition is described in a woman who presented with a scotoma as the main complaint. Four months after the diagnosis of PIC, she developed an exudative neurosensory detachment associated with an active focus of juxtafoveal choroiditis. Finally, with systemic corticosteroids and intravitreal ranibizumab, she made excellent progress. DISCUSSION: Intravitreal ranibizumab, associated with systemic corticosteroids, may be an effective treatment for exudative neurosensory detachment complicating PIC.