Peripheral exudative hemorrhagic chorioretinopathy (PEHC)

WF Retinography: Macular atrophic AMD. Peripheral PEDs with exudation and bilateral hemorrhages

AF Green (Clarus 700, Zeiss): Highlights areas of patchy macular atrophy.

AFG: Macular hyperfluorescence (window effect). Peripheral hyperfluorescence (SPHD) with hypofluorescent areas (hemorrhages)

WF Retinography: Macular atrophic AMD. Peripheral PEDs with exudation and bilateral hemorrhages

AF Green (Clarus 700, Zeiss): Highlights areas of patchy macular atrophy.

AFG: Macular hyperfluorescence (window effect). Peripheral hyperfluorescence (SPHD) with hypofluorescent areas (hemorrhages)

OCT HD: Drusen and macular RPE atrophy. Peripheral PED

Dr. Pablo Gili Manzanaro.

Description

HPEC is a rare clinical entity usually associated with AMD, characterized by peripheral RPE detachments (PEDs), with exudation, hemorrhages and fibrosis. This entity can be confused with intraocular tumors or retinal detachments.

Antiangiogenic therapy is effective in most patients in the active phase (exudative/hemorrhagic).

Comments

Wide-field retinography helps us to discover this entity that may go unnoticed in a posterior pole examination.

Indication

A 91-year-old woman was diagnosed with atrophic AMD, pseudophakic AO, with visual acuity OD 0.6 OI 0.4. Wide-field retinography showed peripheral rounded lesions with exudation and hemorrhages. The multimodal study confirmed the diagnosis of CEHP.