Multifocal choroiditis - an unusual finding in Crohns disease.

Area of Science:

• Ophthalmology
• Gastroenterology
• Inflammatory Diseases

Background:

• Crohns disease is a chronic inflammatory condition.
• Ocular manifestations of Crohns disease are uncommon but can be severe.
• Multifocal choroiditis and serous retinal detachment are potential ocular complications.

Purpose of the Study:

• To describe a case of Crohns disease presenting with acute vision decrease due to multifocal choroiditis and serous retinal detachment.
• To highlight the importance of considering ocular involvement in Crohns disease patients, even without gastrointestinal symptoms.

Main Methods:

• Comprehensive ophthalmological examination.
• Diagnostic fluorescein angiography to evaluate choroidal lesions.
• Treatment with subtenonian corticosteroid injection.

Main Results:

• Fundus examination revealed multifocal, elevated yellowish lesions in the posterior pole.
• Fluorescein angiography showed characteristic hypofluorescence followed by hyperfluorescence.
• Subtenonian corticosteroid injection led to rapid remission of choroidal lesions.

Conclusions:

• Chorioretinal inflammation in Crohns disease may occur independently of disease activity.
• Patients with Crohns disease presenting with posterior segment inflammation require ophthalmological evaluation.
• Periocular corticosteroid injections are effective in managing these inflammatory chorioretinal lesions.