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Case Report

A Rare Variant of Macular Serpiginous Choroiditis

Arvanitogiannis, Angeliki OD1*

doi: 10.1097/OPX.0000000000001412

SIGNIFICANCE Serpiginous choroiditis is a rare yet visually debilitating condition. To date, there is no established consensus on treatment protocol. This article presents a case report of macular serpiginous choroiditis and reviews supporting data for immunosuppressive treatment plans.

PURPOSE The purpose of this study was to examine a case of atypical serpiginous choroiditis with emphasis on diagnostic testing and treatment options.

CASE REPORT A 62-year-old man presented with new, bilateral, yellow chorioretinal placoid lesions within the posterior pole. Optical coherence tomography revealed focal hyperreflective retinal pigment epithelium lesions with disruption of outer retinal layers. Fundus fluorescein angiography demonstrated stable hyperfluorescent lesions with the absence of fluid leakage. Further testing ruled out possible systemic correlation.

CONCLUSIONS Macular serpiginous choroiditis is infrequently encountered; however, various differentials must be considered before making the diagnosis. Optical coherence tomography and fundus fluorescein angiography serve as useful tools in aiding the diagnosis. Treatment of serpiginous choroiditis must be initiated with caution given the high risk of adverse effects.

1SUNY State College of Optometry, New York, New York


Submitted: October 17, 2018

Accepted: April 1, 2019

Funding/Support: The author has reported no funding/support.

Conflict of Interest Disclosure: The author has not reported a financial conflict of interest.

Author Contributions: Writing – Review & Editing: AA.

Online date: July 17, 2019

© 2019 American Academy of Optometry