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