1.Serpiginous choroidopathy
Kristine Corpus ; Andrew Bijasa ; Egidio Jose Fortuna ; Narciso Atienza Jr.
Philippine Journal of Ophthalmology 2011;36(2):78-82
Objective:
To describe a case of serpiginous choroidopathy.
Methods:
This is a case report.
Results:
A 61-year-old female with a 22-year history of gradual blurring of vision in
the left eye sought consultation. Ten months prior, her left vision worsened,
described as central scotoma that progressed inferiorly. Best-corrected vision
was 20/20 (right) and counting fingers at 1 foot (left). Inferior hemifield
scotoma was documented on Amsler grid testing of the left eye. Anteriorsegment findings were unremarkable. Retinal examination through a clear
media revealed multiple contiguous hypopigmented patches radiating from
the peripapillary area extending to the periphery in both eyes with extension
to the superior fovea on the left. Fluorescein angiogram showed progressive faint hypofluorescence of the hypopigmented patches in both eyes with
involvement of the superior fovea on the left. No active vessel leakage was
noted. No treatment was given and regular Amsler monitoring was advised.
Follow-up 3 and 6 months after revealed stable visual acuity and fluorescein
angiogram (FA) findings.
Conclusions
This is a case of serpiginous choroidopathy with inactive pattern. There
was unilateral decrease in central vision, scotoma, and retinal pigment
epithelial atrophy in a serpentine pattern originating from the disc with
macular involvement in one eye. FA aids in the diagnosis and monitoring of
inflammatory activity as the presence of active leakage on the borders. Goals
of management include monitoring, prevention of recurrences and progression, and rapid control of sequela with potential use of immunosuppressive
therapy.
White Dot Syndromes
;
White Dot Syndromes
;
Uveitis
2.Implementation and pilot data on diabetic retinopathy in a teleophthalmology program at a multispecialty primary care clinic.
Joanne B. Tayapad ; Alfonso U. Bengzon ; Sherman O. Valero ; Milagros H. Arroyo ; Ricardo Tobias M. Papa ; Egidio Jose S. Fortuna ; Jocelyn G. Erni ; Myra Alisa J. Reyes ; Jerry D. Cavallerano ; Lloyd Paul Aiello ; Paolo S. Silva
Philippine Journal of Ophthalmology 2014;39(2):90-93
OBJECTIVE: To report on the implementation and initial pilot data of diabetic retinopathy (DR) identified using a validated telemedicine program for DR in a multispecialty primary care clinic.
METHODS: This was a retrospective, cross-sectional pilot survey of diabetic patients imaged for the first time at the telemedicine program of The Medical City from November 26, 2012 to August 31, 2013. The retinal images were obtained following the validated program of the Joslin Vision Network nonmydria. tic fundus photography for DR evaluation. These were evaluated by 4 retina specialists using a standardized protocol to assess for diabetic retinal disease and the presence of other retinal findings. The findings were recorded on customized electronic templates.
RESULTS: Seven hundred seventy-six (776) eyes of 388 patients were evaluated using the telemedicine program. The prevalence of DR was 28.2% (219 eyes), with 25.1% (195 eyes) having nonproliferative DR (NPDR). 14.2% 1110 eyes] had mild, 8.2% [64 eyes] moderate, 2.2% [17 eyes] severe, and 0.5% [4 eyes] very severe NPDR. 3.1% (24 eyes) had proliferative DR (PDR), of which 45.8% (11 eyes) had high-risk characteristics. The ungradable rate with selective mydriasis was 1.80% (14 eyes). The rate of referable DR (moderate NPDR or worse, any level of diabetic macular edema, or ungradable images) was 21.90% (170 eyes).
CONCLUSION: In the primary care setting, teleophthalmology can effectively identify patients with diabetic retinal complications and potentially refer these patients to appropriate levels of eye care. Retinopathy was present in over 28% of patients evaluated and over 21% had referable disease that may potentially progress to vision loss. Teleophthalmology for DR in this setting allows early detection of potentially sight threatening disease and may prevent visual loss and complications.
Human ; Male ; Female ; Aged ; Middle Aged ; Adult ; Diabetic Retinopathy ; Macular Edema ; Mydriasis ; Retina ; Retinal Diseases ; Telemedicine ; Primary Health Care