The findings of bullous CSCR may be confused with uveal effusion, metastatic carcinoma or lymphoma, rhegmatogenous retinal detachment, and diseases that cause inflammation such as VKH disease, multifocal choroiditis
, and sympathetic ophthalmia, and misdiagnosis results in unnecessary tests and treatments.
Multifocal serpiginoid choroiditis
(MSC) is an uncommon clinical entity from the group of infectious choroiditis
, which is characterized by sectoral nonperfusion of choriocapillaris with subsequent ischemia and dysfunction of retinal pigment epithelium and photoreceptor cells of the outer retina(1,2).
4 to 5 mm and may be associated with retinal vasculitis, panuveitis, choroiditis
, retinal vasculitis, optic neuritis, episcleral nodules, and exudative retinal detachment are other rare ocular complications that have been reported in the literature.
On the other hand, the deep lesions include; a) Drusen, b) retinal pigment epithelial hyperplasia, c) intraretinal and subretinal neovascular membranes, d) scarring following choroiditis
, e) trauma or laser treatment, and f) hyperpigmented choroidal nevi.
Pneumocystis carinii choroiditis
in a male homosexual with AIDS and disseminated pulmonary and extrapulmonary P.
The changes in Bruch's membrane give rise to angioid streaks, and rupture of the retinal vessels to hemorrhages and choroiditis
My daughter (age 33) has been diagnosed with multifocal choroiditis
in her left eye.
1993 The patient had relapsing Lyme borreliosis with choroiditis
, arthritis, carditis, and tendinitis.
Intraocular TB can manifest as a wide clinical spectrum including granulomatous anterior uveitis, chronic anterior uveitis, intermediate uveitis, retinal vasculitis, serpiginous-like choroiditis
, choroidal granuloma, neuroretinitis, and panuveitis.
Table 1 Classification of uveitis Type of uveitis Location State of inflammation Anterior Iris Iritis Ciliary body Anterior cyclitis Iris and ciliary body Iridocyclitis Intermediate Vitreous Vitritis Hyalitis Pars planitis Posterior Choroid Choroiditis
Retina Retinitis Neuroretinitis Choroid and retina Chorioretinitis Retinochoroiditis Pan-uveitis All of the above All of the above Table 2 Prednisolone acetate 1% Prednisolone sodium phosphate 0.
keratitis, uveitis, choroiditis
, H/O ocular trauma, lens induced glaucoma, ocular malignancies, etc.
13) Although visual problems were excluded as the cause for such a change, the disease's ocular manifestations are described as uveitis, vitritis, retinitis, retinal haemorrhage, choroiditis
, papilledema, optic atrophy, and keratitis.
Furthermore, Gabrielian and Hariprasad (8) described an immunocompetent patient with treated and stable nonocular disseminated coccidioidomycosis who showed development of new vitritis and choroiditis
8 weeks into high-dose fluconazole therapy; his intraocular disease resolved within 2-4 weeks of transition to voriconazole.