TREATMENT OF SERPIGINOUS CHOROIDITIS WITH SUBTENON TRIAMCINOLONE IN CONJUNCTION WITH SYSTEMIC STEROIDS: A CASE REPORT

To report two cases of serpiginous choroiditis which were treated with subtenon triamcinolone in conjunction with systemic steroids to control acute and chronic disease progression. Increased success of disease remission has been postulated for subtenon triamcinolone therapy in conjunction with systemic steroids.

Retrospective chart review of two serpiginous choroiditis patients who presented at an eye center. Both patients received subtenon triamcinolone and systemic steroids. Visual acuity and disease course are reported.

Both cases of serpiginous choroiditis received subtenon triamcinolone on presentation and were hospitalized for IV corticosteroids and systemic workup. The first patient had been on oral corticosteroids before presentation. Both patients reported same-day visual improvement after subtenon triamcinolone was administered.

These two case reports describe unique clinical scenarios in which subtenon triamcinolone was used in both the acute and chronic phases of serpiginous choroiditis. Local steroid therapy can be a useful adjunctive therapy when systemic steroids are delayed, contraindicated, or intolerable.