Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report

Objective: To report a case of Behçet’s disease (BD) presenting as a panuveitis with neuroretinitis and pre-papillary vitreous infiltrate. Material and methods: A case report. Results: A 43-year-old male presented with severely decreased vision in the left eye. Ophthalmological examination revealed...

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Main Authors: Abdesslem, N.B (Author), Ghorbel, M. (Author), Guiga, A. (Author), Mahjoub, A. (Author), Mahjoub, H. (Author), Sakji, F. (Author), Sellem, I. (Author), Yahia, W.B (Author), Zaafrane, N. (Author)
Format: Article
Language:English
Published: Springer Science and Business Media Deutschland GmbH 2022
Online Access:View Fulltext in Publisher
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001 10.1186-s12348-022-00299-x
008 220718s2022 CNT 000 0 und d
020 |a 18695760 (ISSN) 
245 1 0 |a Behçet’s disease presenting as neuroretinitis with pre-papillary vitreous infiltrate: a case report 
260 0 |b Springer Science and Business Media Deutschland GmbH  |c 2022 
856 |z View Fulltext in Publisher  |u https://doi.org/10.1186/s12348-022-00299-x 
520 3 |a Objective: To report a case of Behçet’s disease (BD) presenting as a panuveitis with neuroretinitis and pre-papillary vitreous infiltrate. Material and methods: A case report. Results: A 43-year-old male presented with severely decreased vision in the left eye. Ophthalmological examination revealed unilateral non granulomatous panuveitis with occlusive retinal vasculitis, neuroretinitis and pre-papillary vitreous infiltrate. Initial swept source OCT revealed a “funnel-shaped” hyperreflective lesion overlying the optic disc corresponding to the pre-papillary vitreous infiltrate associated with optic disc edema and a serous retinal detachment extending to the macula. Examination by an internal medicine specialist revealed buccal aphthous ulcer and pseudofolliculitis lesions. BD diagnosis was made and the patient received corticosteroid and immunosuppressive therapy. The pre-papillary vitreous infiltrate resolution under treatment was documented with repeat swept source OCT. Conclusion: Pre-papillary vitreous infiltrate has been rarely reported in the literature. This finding is a typical feature in severe cases of BD uveitis and is usually associated with a neuroretinitis. Optic disc OCT is useful to make the diagnosis and to monitor the resolution of the pre-papillary vitreous infiltrate. © 2022, The Author(s). 
700 1 |a Abdesslem, N.B.  |e author 
700 1 |a Ghorbel, M.  |e author 
700 1 |a Guiga, A.  |e author 
700 1 |a Mahjoub, A.  |e author 
700 1 |a Mahjoub, A.  |e author 
700 1 |a Mahjoub, H.  |e author 
700 1 |a Sakji, F.  |e author 
700 1 |a Sellem, I.  |e author 
700 1 |a Yahia, W.B.  |e author 
700 1 |a Zaafrane, N.  |e author 
773 |t Journal of Ophthalmic Inflammation and Infection