Fuchs spot
| Fuchs spot | |
|---|---|
| Other names | Forster-Fuchs' retinal spot |
 | |
| An optical coherence tomography (OCT) of the retina, showing a Fuchs spot | |
The Fuchs spot (also known as Förster-Fuchs' Spot[1]) is a degeneration of the macula in cases of high myopia. It is named after the two persons who first described it: Ernst Fuchs, who described a pigmented lesion in 1901, and Forster, who described subretinal neovascularization in 1862.[2] It occurs due to proliferation of retinal pigment epithelium associated with choroidal hemorrhage.[1] The size of the spots are proportionate to the severity of the pathological myopia.
Symptoms
[edit]First signs of a Fuchs spot are distorted sight of straight lines near the fovea, which some days later turn to the typical well-circumscribed patches after absorption of haemorrhage, and a pigmented scar remains. As in macular degeneration, central sight is affected. Atrophy leads to the loss of two or more lines of the Snellen chart.
Treatment
[edit]Fuchs spots are caused by regression of choroidal neovascularization.[3] Since it is a medical sign, treatment is given for the actual cause. Photothermal laser ablation, photodynamic therapy, anti-VEGF therapy, or a combination of these are the treatment options of choroidal neovascularization due to pathological myopia.[3][1]
See also
[edit]References
[edit]- ^ a b c Kumar, Atul; Chawla, Rohan; Kumawat, Devesh; Pillay, Ganesh (2017). "Insight into high myopia and the macula". Indian Journal of Ophthalmology. 65 (2): 85–91. doi:10.4103/ijo.IJO_863_16. ISSN 0301-4738. PMC 5381305. PMID 28345561.
- ^ "Forster-Fuchs' Retinal Spot". patient.info. Retrieved 24 December 2012.
- ^ a b "Pathologic myopia (myopic degeneration) - EyeWiki". eyewiki.aao.org.