Abstract
Abstract: :
Purpose: To report a series of 20 patients diagnosed with idiopathic multifocal choroiditis (MFC) to determine whether or not specific features of the disease were associated with a more or less favourable visual outcome. Other known retinal inflammatory syndromes were excluded. Methods: Retrospective non–interventional case series. Patient demographics, presenting symptoms, clinical features and the use of steroids were evaluated. The mean follow–up period was ten years. Results: 16 of 31 eyes had a final best corrected visual acuity of 20/30 or better, the remaining 15 eyes were 20/40 or worse. Only the development of choroidal new vessels or cystoid macular edema was associated with the poor vision group. Systemic or orbital floor corticosteroids were used to treat 21 eyes (68%) and were documented as effective in improving vision in 86% of cases (although there were no controls). Conclusions: There was a great variety of clinical phenotypes within the group of 20 patients diagnosed with idiopathic MFC. In the study cohort, good vision (20/30 or better) was retained in 52% of eyes. Corticosteroids were documented as effective, but this would need to be confirmed with a control group.
Keywords: uveitis–clinical/animal model • choroid • visual acuity