Serpiginous choroiditis
Serpiginous choroiditis | |
---|---|
Synonyms | Geographic helicoid peripapillary choroidopathy |
Classification and external resources | |
ICD-10 | H30.8 |
Orphanet | 35686 |
Serpiginous choroiditis, also known as geographic or helicoid choroidopathy, is an uncommon chronic progressive inflammatory disease affecting adult men and women equally in the second to seventh decades of life.[1]
Presentation
In this condition the posterior uveitis shows a geographic pattern. The inflammation begins in the juxtapapillary choroid and intermittently spreads centrifugally. The overlying retinal pigment epithelium and the outer retina are involved in the inflammatory process.
A closely related condition is multifocal serpiginoid choroiditis. This is caused by tuberculosis.[2]
The distinction between these two conditions is important as the latter responds to anti tuberculosis treatment while the former does not.
References
- ↑ American academy of Ophthalmology (2012). Basic&Clinical Science Course: Intraocular inflammation and uveitis (2011-2012 last major rev. 2010-2012. ed.). American Academy of Ophthalmology. ISBN 978-1615251162.
- ↑ Bansal, Reema; Sharma, Kusum; Gupta, Amod; Sharma, Aman; Singh, Mini P; Gupta, Vishali; Mulkutkar, Samyak; Dogra, Mohit; Dogra, Mangat R; Kamal, Shivali; Sharma, Surya Parkash; Fiorella, Paul D (2015). "Detection of Mycobacterium tuberculosis Genome in Vitreous Fluid of Eyes with Multifocal Serpiginoid Choroiditis". Ophthalmology. 122 (4): 840–50. doi:10.1016/j.ophtha.2014.11.021. PMID 25578256.
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