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01.12.2018 | Case report | Ausgabe 1/2018 Open Access

BMC Ophthalmology 1/2018

Retinal complications of gout: a case report and review of the literature

BMC Ophthalmology > Ausgabe 1/2018
Ying Jiang, Jason E. Brenner, William J. Foster
Wichtige Hinweise
The original version of this article was revised to correct figures 1, 2 and 3.
A correction to this article is available online at https://​doi.​org/​10.​1186/​s12886-018-0691-8.



There have been few reported findings of posterior segment complications of gout. While exudative lesions, an increased risk of macular degeneration, and vascular occlusions have been previously reported, to our knowledge, refractile macular lesions have not been reported in a patient with chronic uncontrolled gout.

Case Presentation

Highly refractile, crystal-like lesions were found in the macula of a 62 year old male patient with chronically uncontrolled gout. The lesions appeared at the termination of retinal arterioles and were located at the level of the retinal pigment epithelium. The lesions did not stain with fluorescein and were associated with larger areas geographic atrophy. Review of the patient’s blood tests revealed well-controlled vasculopathic risk factors. Fundus appearance and best-corrected visual acuity remained stable over 12 months of follow-up during which the uric acid levels were well controlled.


Retinopathy may be associated with chronically uncontrolled gout and patients with visual complaints should undergo a dilated examination in addition to the typical anterior segment slit-lamp exam.
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