Abstract
Purpose::
To characterise a clinical pattern of multifocal choroiditis (MC) correlated with a severe visual outcome.
Methods::
The charts of 36 patients with active MC have been reviewed.
Results::
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.
Conclusions::
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.
Keywords: chorioretinitis • choroid: neovascularization • macula/fovea