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I. A. Meunier, C. Edelson, C. Favard, G. Caputo; Presentation and Course of Severe Form of Multifocal Choroiditis. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5148.
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© ARVO (1962-2015); The Authors (2016-present)
To characterise a clinical pattern of multifocal choroiditis (MC) correlated with a severe visual outcome.
The charts of 36 patients with active MC have been reviewed.
Three patients (three eyes) present an acute MC with a rapid progression to macular choroidal neovascularisation. No lesions were noted on previous examination in the including eyes. In these eyes, initial exam reveals only new active chorioretinal lesions poorly visible; all new lesions were including within a large macular serous retinal detachment. Despite high dose of corticosteroids (pulses), choroidal neovascularisation and fibrosis occur within one month resulting in a poor visual outcome.
MC initially presenting with only new active lesions within a large serous retinal detachment may carry a higher risk for short term choroidal neovascularisation and severe fibrosis. More aggressive treatment i.e. intravitreous injections should be discussed in these peculiar cases.
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