Arvanitogiannis Angeliki
Optom Vis Sci. 2019 Aug;96(8):620-624. doi: 10.1097/OPX.0000000000001412.
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.
The purpose of this study was to examine a case of atypical serpiginous choroiditis with emphasis on diagnostic testing and treatment options.
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.
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.
匐行性脉络膜炎是一种罕见但会导致视力损害的疾病。迄今为止，对于治疗方案尚未达成共识。本文介绍了一例黄斑匐行性脉络膜炎的病例报告，并回顾了支持免疫抑制治疗方案的数据。
本研究的目的是检查一例非典型匐行性脉络膜炎病例，重点关注诊断测试和治疗选择。
一名62岁男性患者后极部出现新的双侧黄色脉络膜视网膜扁平状病变。光学相干断层扫描显示视网膜色素上皮局灶性高反射病变，外层视网膜层中断。眼底荧光血管造影显示高荧光病变稳定，无液体渗漏。进一步检查排除了可能的全身相关性。
黄斑匐行性脉络膜炎很少见；然而，在做出诊断之前必须考虑各种不同的情况。光学相干断层扫描和眼底荧光血管造影是辅助诊断的有用工具。鉴于不良反应风险高，匐行性脉络膜炎的治疗必须谨慎启动。
