Most viewed - Multifocal Choroiditis Panuveitis - 32-year-old woman CNVM OS Recurrs 4 years after initial therapy (avastin) 32-year-old woman in the office on February 21, 2008. I appreciate you sending along her old notes from 1999 when she had an episode of vision loss in the right eye associated with macular scarring and multifocal choroiditis. At that time she was not seen to have any active lesions in her macula and comes in now with the vision complaints lasting about two weeks of blurred vision in the left and good eye, obviously causing her concern.
She is not having any health problems. She does have a history of migraine and she also takes a multivitamin. She does not have any fevers, rashes, or arthritis. She has no evidence of any oral or genital sores, nor does she have any breathing problems.
VISUAL ACUITY: OD 20/400, OS 20/50. IOP: OD 15, OS 16.
SLIT LAMP EXAM: Normal clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are multifocal chorioretinal scars with a foveal scar.
OS: Vertical C/D ratio is 0.1. There are multifocal chorioretinal scars. There is a focus of choroiditis just inferonasal to the fovea about 500 microns short of the fovea.
OCT SCAN: The right eye shows diffuse retinal atrophy. The left eye shows thickening of the retinal pigment epithelium with overlying retinal edema just nasal to the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: Shows increasing hyperfluorescence in the lesion of the macula of the left eye. There is, however, no definite vascularity to it. The right eye has staining macular scars.
IMPRESSION:
1. PIC – BOTH EYES
2. NEW LESION OF ACTIVE CHOROIDITIS THREATENING THE FOVEA – LEFT EYE
3. POSSIBLE CHOROIDAL NEOVASCULAR MEMBRANE – LEFT EYE
DISCUSSION: I explained to the patient given her history of multifocal scarring and the new lesion which appears to have no vascularity, no hemorrhage, very little overlying fluid, and is not associated with an old macular scar, I think this is most likely a focus of active inflammation and not an area of neovascularization. Patients with multifocal choroiditis rarely develop choroidal neovascular membranes, whereas patients with punctate inner choroidopathy do, but she does not look to have punctate inner choroidopathy. Because the lesion looks inflammatory, I am starting her on 60 mg of oral steroids daily. I asked her to return for a check in one week, sooner should she notice any problem. If we have no response at that time, I will probably try her with intravitreal Kenalog. If we do have response, we will need to do something about keeping her on anti-inflammatory medicines to prevent central vision loss in the left eye. If the lesion starts to look more vascular, I will treat her with intravitreal blood vessel inhibitors.
When she comes next time, I will also obtain blood tests from Dr. Miller’s office and see what testing needs to be obtained in her to rule-out possible pathologies for possible causes of multifocal choroiditis.
TWO MONTHS LATER:
Her vision in the left eye is doing a little bit better. Interestingly, the right eye is doing substantially better since I first encountered her. She since has had treatment in the left eye with a posterior sub-Tenon Kenalog in February and intravitreal Avastin in March.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/40.
FU: 4 years later:
June 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining.
VISUAL ACUITY: OD 20/50, OS 20/80. IOP: OD 14, OS 17. There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is multifocal chorioretinal scars in the macula as well as nasal to the optic nerve. There is some hemorrhage nasal to the optic nerve.
OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
SPECTRALIS-SD-OCT SCAN: The OCT scan in the right eye shows the macula to be dry. The left eye shows macular edema. The photos confirm the retinal hemorrhage in the left eye.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography of the right eye shows multiple hyperfluorescence spots in the macula where the scarring is. The left eye shows an increasing hyperfluorescencent area under the fovea, which does look to be vascular, likely from a neovascular complex.
INDOCYANINE GREEN ANGIOGRAPHY: An indocyanine green angiogram was obtained in the both eyes, because of the multifocal chorioditis. The indocyanine green does show hypofluorescence centrally where the neovascular complex is and in the later frames there is a small hypofluorescence lesion. The right eye shows multifocal hypofluorescence spots corresponding to the macular scar.
IMPRESSION:
1. MULTIFOCAL CHOROIDITIS SUBRETINAL FIBROSIS – BOTH EYES
2. NEW FOVEAL HEMORRHAGE WITH A NEOVASCULAR MEMBRANE – LEFT EYE
3. ECCENTRIC HEMORRHAGE – RIGHT EYE
DISCUSSION: I explained to the patient the left macula does appear to have an area of scarring that is reactivated and there is a new blood vessel growth extending towards the fovea, which looks like it may at the moment be subfoveal. I treated the left eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today.
Vision returned to 20/40 after 3 treatments. Decision was made to treat every 3 months.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Multifocal and macular scar OD1204 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS 2 months post rx1088 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Macular Scar OD977 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Scar OD950 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Montage Initial Visit873 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
2 months post-rx with posterior subtenons kenalog and intravitreal avastin - va os 20/30 and lesion has retracted and organized. It never subsequently grew over 2 years follow-up
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female OCT map855 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 820 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 805 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - SD OCT773 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Macula OS761 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS753 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Multifocal Scars - PIC Like719 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Line Scan New Lesion OS717 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram708 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female FA Old Scar OS696 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Scar OD691 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - SD OCT665 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS661 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram659 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 648 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 641 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female FA New Lesion OS632 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female Old Scar OD628 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 621 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram621 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram619 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram617 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 614 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - FAF604 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS603 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS600 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram596 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram590 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS581 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - FAF577 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - SDOCT577 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram570 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - SD OCT568 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram562 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS551 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram550 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram549 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Multifocal Choroiditis and Subretinal Fibrosis - 32 yo Female New Lesion OS548 views32-year-old woman vision loss in the right eye associated with macular scarring and multifocal choroiditis in 1999 with new vision loss in left eye: OD 20/400, OS 20/50.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram543 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 542 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram535 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram531 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram524 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram521 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye 518 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Fluorescein Angiogram518 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram507 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram502 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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Punctate Inner Choroidopathy - Recurrent CNVM 4 years after initial treatment Left Eye - Indocyanine Green Angiogram498 viewsJune 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining. OD 20/50, OS 20/80. OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
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32-year-old woman in the office on February 21, 2008. I appreciate you sending along her old notes from 1999 when she had an episode of vision loss in the right eye associated with macular scarring and multifocal choroiditis. At that time she was not seen to have any active lesions in her macula and comes in now with the vision complaints lasting about two weeks of blurred vision in the left and good eye, obviously causing her concern.
She is not having any health problems. She does have a history of migraine and she also takes a multivitamin. She does not have any fevers, rashes, or arthritis. She has no evidence of any oral or genital sores, nor does she have any breathing problems.
VISUAL ACUITY: OD 20/400, OS 20/50. IOP: OD 15, OS 16.
SLIT LAMP EXAM: Normal clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There are multifocal chorioretinal scars with a foveal scar.
OS: Vertical C/D ratio is 0.1. There are multifocal chorioretinal scars. There is a focus of choroiditis just inferonasal to the fovea about 500 microns short of the fovea.
OCT SCAN: The right eye shows diffuse retinal atrophy. The left eye shows thickening of the retinal pigment epithelium with overlying retinal edema just nasal to the fovea. Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: Shows increasing hyperfluorescence in the lesion of the macula of the left eye. There is, however, no definite vascularity to it. The right eye has staining macular scars.
IMPRESSION:
1. PIC – BOTH EYES
2. NEW LESION OF ACTIVE CHOROIDITIS THREATENING THE FOVEA – LEFT EYE
3. POSSIBLE CHOROIDAL NEOVASCULAR MEMBRANE – LEFT EYE
DISCUSSION: I explained to the patient given her history of multifocal scarring and the new lesion which appears to have no vascularity, no hemorrhage, very little overlying fluid, and is not associated with an old macular scar, I think this is most likely a focus of active inflammation and not an area of neovascularization. Patients with multifocal choroiditis rarely develop choroidal neovascular membranes, whereas patients with punctate inner choroidopathy do, but she does not look to have punctate inner choroidopathy. Because the lesion looks inflammatory, I am starting her on 60 mg of oral steroids daily. I asked her to return for a check in one week, sooner should she notice any problem. If we have no response at that time, I will probably try her with intravitreal Kenalog. If we do have response, we will need to do something about keeping her on anti-inflammatory medicines to prevent central vision loss in the left eye. If the lesion starts to look more vascular, I will treat her with intravitreal blood vessel inhibitors.
When she comes next time, I will also obtain blood tests from Dr. Miller’s office and see what testing needs to be obtained in her to rule-out possible pathologies for possible causes of multifocal choroiditis.
TWO MONTHS LATER:
Her vision in the left eye is doing a little bit better. Interestingly, the right eye is doing substantially better since I first encountered her. She since has had treatment in the left eye with a posterior sub-Tenon Kenalog in February and intravitreal Avastin in March.
VISUAL ACUITY: Vision OD is 20/30, OS is 20/40.
FU: 4 years later:
June 7, 2012. This pleasant 35-year-old woman noticed decreasing vision in the left eye recently. She returns now noticing the vision in the left eye is declining.
VISUAL ACUITY: OD 20/50, OS 20/80. IOP: OD 14, OS 17. There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is multifocal chorioretinal scars in the macula as well as nasal to the optic nerve. There is some hemorrhage nasal to the optic nerve.
OS: Vertical C/D ratio is 0.3. There is a scar just inferonasal to the fovea, which has grown some towards the fovea with a little blood just under the fovea.
SPECTRALIS-SD-OCT SCAN: The OCT scan in the right eye shows the macula to be dry. The left eye shows macular edema. The photos confirm the retinal hemorrhage in the left eye.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography of the right eye shows multiple hyperfluorescence spots in the macula where the scarring is. The left eye shows an increasing hyperfluorescencent area under the fovea, which does look to be vascular, likely from a neovascular complex.
INDOCYANINE GREEN ANGIOGRAPHY: An indocyanine green angiogram was obtained in the both eyes, because of the multifocal chorioditis. The indocyanine green does show hypofluorescence centrally where the neovascular complex is and in the later frames there is a small hypofluorescence lesion. The right eye shows multifocal hypofluorescence spots corresponding to the macular scar.
IMPRESSION:
1. MULTIFOCAL CHOROIDITIS SUBRETINAL FIBROSIS – BOTH EYES
2. NEW FOVEAL HEMORRHAGE WITH A NEOVASCULAR MEMBRANE – LEFT EYE
3. ECCENTRIC HEMORRHAGE – RIGHT EYE
DISCUSSION: I explained to the patient the left macula does appear to have an area of scarring that is reactivated and there is a new blood vessel growth extending towards the fovea, which looks like it may at the moment be subfoveal. I treated the left eye with intravitreal injection of Avastin (1.25 mg/0.05 ml) without any difficulty today.
Vision returned to 20/40 after 3 treatments. Decision was made to treat every 3 months.
