Exudative retinal detachment in relapsing polychondritis : case report and literature review

Abstract

Objective: To report the atypical ocular symptoms (arterialized conjunctival vessels, exudative retinal detachment) that can be the presenting manifestations of relapsing polychondritis.

Design: Observational case report and literature review.

Methods: A complete ocular and systemic evaluation was performed on a patient with relapsing polychondritis and exudative retinal detachment.

Main outcome measures: Retinal, choroidal, and scleral findings.

Results: A 73-year-old man with relapsing polychondritis presented with a unilateral large bullous exudative retinal detachment and marked choroidal and scleral thickening bilaterally.

Conclusions: Ophthalmologists should consider relapsing polychondritis in the differential diagnosis of exudative retinal detachment. A combination of echographic and laboratory findings can assist in the accurate diagnosis of this rare condition.