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Updated: May 29, 2026

Multifocal Electroretinograms

Multifocal Electroretinograms

Published on: December 4, 2011

[Multifocal choroidopathy syndrome--a case report].

Sonja Cekić¹, Gordana Stanković Babić, Ivan Jovanović

¹Klinicki centar Nis, Klinika za ocne bolesti. sonjaziv@yahoo.com

Medicinski Pregled

|September 13, 2011

Summary

This case study explores multifocal choroidopathy syndrome, a rare disorder of the eye. Investigations revealed multiple viral infections and immunological abnormalities, suggesting a potential autoimmune mechanism triggered by viruses.

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Multifocal Electroretinograms

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Published on: December 4, 2011

Iris Fixation via External Pentagram Suturing

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Published on: May 5, 2022

Area of Science:

Ophthalmology
Immunology
Infectious Diseases

Background:

Multifocal choroidopathy syndromes are rare disorders affecting the retinal pigment epithelium and choriocapillaris.
The exact etiology of these syndromes remains largely unknown.

Observation:

A 54-year-old woman presented with blurred vision, ocular pain, and visual disturbances.
Anterior segment examination revealed keratic precipitates and anterior chamber inflammation.
Fundus examination showed characteristic yellow-white spots at the retinal pigment epithelium and choriocapillaris level.

Findings:

Fluorescein angiography demonstrated active lesions with blocked early choroidal fluorescence and late staining, and inactive lesions with RPE window defects.
Laboratory tests indicated elevated blood glucose, C-reactive protein, and lipids.
Immunological examination revealed low C3 and C4 complement components and elevated immune complexes.
Serological tests were positive for Cytomegalovirus, Herpes Simplex Virus, and Varicella Zoster Virus IgG.

Implications:

The presence of multiple viral infections and immunological abnormalities suggests an autoimmune mechanism potentially triggered by viral agents.
This case highlights the importance of comprehensive laboratory and immunological workup in diagnosing multifocal choroidopathy syndrome.
Further research into the interplay between viral infections and autoimmune responses in choroidopathy is warranted.