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ETIOLOGIC DILEMMA IN A CASE OF SERPIGINOUS CHOROIDITIS TB OR NOT TB

CHITRA G

Abstract


Serpiginous choroiditis is an idiopathic recurring, asymmetric, bilateral, and progressive inflammation of the inner choroid involving the choriocapillaris and RPE. A 50yrs female presented with complaints of floaters in left eye for 4days. Best corrected visual acuity in the right eye was 6 on 6 and left eye was 6 on 12.Anterior segment examination in both eyes was normal. Central fields in left eye showed a central scotoma. Fundus examination of left eye showed a greyish yellow peripapillary creeping choroidal lesion involving the macula. Fundus fluorescein angiography and fundus  autofluorescence confirmed the presence of serpiginous  choroiditis. Mantoux test was positive. She was started on anti-tuberculous treatment and oral steroids.


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References


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Reema Bansal, Amod Gupta and Vishali Gupta, Imaging in the diagnosis and management of serpiginous choroiditis International Ophthalmology Clinics Volume 52, Number 4, 229–236, 2012.

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Aditi Gupta, Jyotirmay Biswas, Fundus autofluorescence imaging to document evolution, progression and healing pattern of serpiginous choroiditis, Oman Journal of Ophthalmology, Vol. 7, No. 2, 2014.


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