Serpiginous choroidopathy

By posted on April 2, 2015 9:08PM
Serpiginous choroidopathy

Serpiginous choroidopathy

By Dr.

40 years male
BCVA is 6/12 OUN
IOP 14-13
DDx?

Serpiginous choroidopathy
Serpiginous choroidopathy

By Dr.Souad Abdallah Serpigious chorioret,initis, high myopia , PSOH

 

 

SC is a rare clinical entity causing less than 5% of posterior uveitis cases. It has a higher prevalence in men and affects young to middle-aged adults. No systemic disease associations have been identified.

 

Although of unknown etiology, its origin is probably immunogenic since it seems to respond to treatment with cortisteroids and other immunossupressants. Moreover, affected patients also show an increased frequency of HLA-B7 and retinal S-antigen associations. Other pathogenic mechanisms have been proposed and several authors link SC to infectious agents like Mycobacterium tuberculosis and herpes viruses but this remains to be proven.

Diagnosis

SC presents with gray-yellowish subretinal infiltrates that usually spread centrifugally from the peripapillary region in a serpiginous (snake-like) manner. Active lesions show a leading edge and resolve with subsequent RPE and choriocapillary atrophy. Consecutive recurrences cause further atrophy leaving hypo and hyperpigmented lesions that spread irregularly over the posterior fundus. Although bilateral, the disease is often asymmetric with multiple lesions in different stages of resolution in both eyes. Recurrences have variable intervals that range from months to years. Anterior chamber and vitritis are minimal. Others forms of SC include Macular serpiginous choroidopathy and Ampiginous choroidopathy (also known as relentless placoid choriorretinitis). The former begins as a macular lesion that spares the peripapillary region with a higher risk of choroidal neovascularization (CNV) and poor visual outcome. Ampiginous choroidopathy is an atypical form of SC characterized by multifocal plaque-like lesions scattered over the posterior pole that resemble acute posterior multifocal placoid pigment epiteliopathy (APMPPE) but without the spontaneous resolution typical of this white-dot syndrome showing multiple areas of atrophy that become contiguous over time.

 

Source:

Ophthalmology Atlas(Photos of cases)

Serpiginous choroidopathy

Ophthalmology Notes

We do our best to simplify ophthalmology in Short Notes and exchange practical experiences between ophthalmologists all over the world.

Recently Published Stories

Yellow White Retinal Lesion Differential Diagnosis

Yellow White Retinal Lesion Differential Diagnosis

Yellow-white retinal lesions or deposits at the macula are caused by a wide range of conditions and can lead to vision loss. Causes of Yellow

Optic Disc Swelling

Bilateral Optic Disc Swelling for DD

Bilateral Optic Disc Swelling for DD By Dr.Ahmed Ali What do you think about these photos of a young male

Macular edema in Retinal vein occlusion

Macular edema in Retinal vein occlusion

Macular edema in Retinal vein occlusion By Dr.Ahmed Saleh‎  Macular edema in vein occlusion Is there any protocol to treat?

Operculated Retinal Tear

Operculated Retinal Tear

Operculated Retinal Tear By Dr. Ameen Marashi‎ 35 years old complaining from floaters .What is your Diagnosis and Management? By

Retinal Capillary Haemangioma

Retinal Capillary Haemangioma

Retinal Capillary Haemangioma By Dr.Ameen Marashi‎ Young female What is your Diagnosis ? By Dr.Ahmad Ateya haemangioma By Dr.Ameen Marashi Treated

Retinal Ischeamia

Retinal Ischeamia

 Retinal Ischeamia By Dr.Ameen Marashi‎ Describe what you see and what is your approach ?!! By Dr.Reena Sorokhaibam Capillary non

Age Related Macular Degeneration ( ARMD without CNVM )

Age Related Macular Degeneration ( ARMD without CNVM )

Age Related Macular Degeneration ( ARMD without CNVM ) By Dr.Ameen Marashi‎ This 73 years old patient suffers from reduced

Causes of Papilledema

Causes of Papilledema

Causes of Papilledema Papilledema is an optic disc swelling that is secondary to elevated intracranial pressure. In contrast to other causes

Choroidal Nevus

Choroidal Nevus

Choroidal Nevus By Dr.Ameen Marashi‎ This patient has been followed up for many years because of this appearance with VA

Retinal Diseases Signs In One Picture

Retinal Diseases Signs In One Picture

Retinal Diseases Signs In One Picture Bone spicule pigments (BSP): are a hallmark of retinitis pigmentosa (RP)   Chorioretinal Atrophy: