We thank you for your interest and comments on our article.
We do agree that inflammatory Choroidal Neovascular Membrane (CNVMs) are most common in this situation. Regarding the second query – pregnancy was ruled out at both visits because, at both times, she had miscarried 1 or 2 days before presentation to us. The treating obstetrician had ruled out systemic tuberculosis as a cause for recurrent abortions in our patient. The clinical characteristics of this case were self-explanatory – the age 28 years (common in 13–45 years), moderate myopia, bilateral disease and the characteristics of the lesion – multiple yellowish lesions about 50–100 μ at the level of choroid. On Fundus Fluroscein Angiography (FFA), small punctate early hyperfluorescent spots corresponding to clinical lesions with late leakage and the type II CNVM were noted. Lastly, we do agree that Indocyanine Green Angiography (ICGA) could be more defining in such a case; however, it is not a must to establish the diagnosis.
1. Watzke RC, Packer AJ, Folk JC, Benson WE, Burgess D, Ober RR. Punctate inner choroidopathy Am J Ophthalmol. 1984;98:572–84
2. Park CH, Raizman MB. Foster and Vitale Diagnosis and treatment of Uveitis;74:806–12