Titre : | Case report: a rare variant of macular serpiginous choroiditis |
Type de document : | article de périodique |
Auteurs : | Angeliki Arvanitogiannis, Auteur |
Année de publication : | 2019 |
Langues : | Français (fre) |
Descripteurs (mots clés) : | [Thésaurus Mesh]Diagnostic [Thésaurus Mesh]Présentations de cas [Thésaurus Mesh]Thérapeutique [Thésaurus Mesh]Tomographie par cohérence optique [Thésaurus HELB]:Optique:choroïdite serpigineuse maculaire [Thésaurus HELB]:Optique:traitement immunosuppresseur
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Résumé : | SIGNIFICANCE Serpiginous choroiditis is a rare yet visually debilitating condition. To date, there is no established consensus on treatment protocol. This article presents a case report of macular serpiginous choroiditis and reviews supporting data for immunosuppressive treatment plans.
PURPOSE The purpose of this study was to examine a case of atypical serpiginous choroiditis with emphasis on diagnostic testing and treatment options.
CASE REPORT A 62-year-old man presented with new, bilateral, yellow chorioretinal placoid lesions within the posterior pole. Optical coherence tomography revealed focal hyperreflective retinal pigment epithelium lesions with disruption of outer retinal layers. Fundus fluorescein angiography demonstrated stable hyperfluorescent lesions with the absence of fluid leakage. Further testing ruled out possible systemic correlation.
CONCLUSIONS Macular serpiginous choroiditis is infrequently encountered; however, various differentials must be considered before making the diagnosis. Optical coherence tomography and fundus fluorescein angiography serve as useful tools in aiding the diagnosis. Treatment of serpiginous choroiditis must be initiated with caution given the high risk of adverse effects. |
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