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Atypical serpiginous choroiditis.

M S Blumenkranz, J D Gass, J G Clarkson

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |November 1, 1982
    PubMed
    Summary
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    Serpiginous choroiditis can present atypically, with many patients developing choroidal neovascularization or disciform macular scarring, leading to significant vision loss. Regular monitoring is crucial for early detection of potentially treatable complications.

    Area of Science:

    • Ophthalmology
    • Retinal Diseases

    Background:

    • Serpiginous choroiditis is an inflammatory eye condition.
    • Atypical presentations and complications can impact visual prognosis.

    Purpose of the Study:

    • To investigate the atypical features and complications of serpiginous choroiditis.
    • To assess the incidence of choroidal neovascularization and disciform macular scarring.

    Main Methods:

    • Retrospective case series analysis.
    • Review of clinical data and visual acuity for 53 patients with serpiginous choroiditis.

    Main Results:

    • 56% of patients showed atypical features, including active choroidal neovascularization (13%) or disciform macular scarring (13%).
    • Female patients were disproportionately affected by active choroidal neovascularization (5/7).

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  • All patients with these complications experienced severe visual acuity reduction (≤6/60) and were unresponsive to photocoagulation.

    • Conclusions:

    • Serpiginous choroiditis poses a significant risk of central vision loss due to macular complications.
    • Early detection and regular monitoring are essential for managing potentially treatable choroidal neovascularization in these patients.