Paracentral Acute Middle Maculopathy in A Young Girl Treated with Interferon-Beta for Nasopharyngeal Carcinoma

Ocul Immunol Inflamm. 2023 Apr;31(3):589-593. doi: 10.1080/09273948.2022.2032194. Epub 2022 Feb 24.

Abstract

Purpose: To describe a case of interferon-beta retinopathy associated with paracentral acute middle maculopathy.

Case report: A 15-year-old girl with Epstein-Barr virus-positive advanced nasopharyngeal carcinoma WAS REFERRED with reduced visual acuity. Multimodal imaging findings, including optical coherence tomography angiography, at presentation and evolution following cessation of interferon therapy are presented.

Conclusion: The presentation of paracentral acute middle maculopathy in this patient supports the presumed ischaemic pathogenesis in interferon retinopathy. The imaging findings provide evidence of deep capillary plexus involvement in interferon retinopathy with evolution to permanent structural damage within the inner nuclear layer.

Keywords: Interferon-beta; multimodal imaging; optical coherence tomography; optical coherence tomography angiography; paracentral acute middle maculopathy.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adolescent
  • Epstein-Barr Virus Infections* / complications
  • Epstein-Barr Virus Infections* / diagnosis
  • Epstein-Barr Virus Infections* / drug therapy
  • Female
  • Fluorescein Angiography / methods
  • Herpesvirus 4, Human
  • Humans
  • Interferon-beta
  • Macular Degeneration*
  • Nasopharyngeal Carcinoma / complications
  • Nasopharyngeal Carcinoma / diagnosis
  • Nasopharyngeal Carcinoma / drug therapy
  • Nasopharyngeal Neoplasms* / complications
  • Nasopharyngeal Neoplasms* / diagnosis
  • Nasopharyngeal Neoplasms* / drug therapy
  • Retinal Diseases* / chemically induced
  • Retinal Diseases* / diagnosis
  • Retinal Diseases* / drug therapy
  • Retinal Vessels / pathology
  • Tomography, Optical Coherence / methods

Substances

  • Interferon-beta