Serpiginous choroiditis: Difference between revisions
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{{Infobox medical condition | |||
| name = Serpiginous choroiditis | |||
| image = [[File:PMID20029144_09_geographic_helicoid_peripapillary_choroidopathy.png]] | |||
| caption = Fundus photograph showing serpiginous choroiditis | |||
| field = [[Ophthalmology]] | |||
| synonyms = Geographic helicoid peripapillary choroidopathy | |||
| symptoms = [[Visual impairment]], [[scotoma]], [[photopsia]] | |||
| complications = [[Choroidal neovascularization]], [[vision loss]] | |||
| onset = Typically between ages 30-70 | |||
| duration = Chronic | |||
| causes = Unknown, possibly [[autoimmune]] | |||
| risks = Possible association with [[HLA-B7]] and [[HLA-DR2]] | |||
| diagnosis = [[Fundus examination]], [[fluorescein angiography]], [[indocyanine green angiography]] | |||
| differential = [[Birdshot chorioretinopathy]], [[multifocal choroiditis]], [[acute posterior multifocal placoid pigment epitheliopathy]] | |||
| treatment = [[Corticosteroids]], [[immunosuppressive drugs]] | |||
| prognosis = Variable, can lead to significant [[vision loss]] | |||
| frequency = Rare | |||
}} | |||
'''Serpiginous choroiditis''' is a rare, chronic, progressive [[inflammation|inflammatory]] condition that affects the [[choroid]] of the [[eye]]. It is characterized by irregularly shaped (serpiginous) lesions that can lead to severe vision loss. | '''Serpiginous choroiditis''' is a rare, chronic, progressive [[inflammation|inflammatory]] condition that affects the [[choroid]] of the [[eye]]. It is characterized by irregularly shaped (serpiginous) lesions that can lead to severe vision loss. | ||
== Symptoms == | == Symptoms == | ||
The primary symptom of serpiginous choroiditis is a gradual, painless loss of vision. Other symptoms may include [[photopsia]] (flashes of light), [[scotoma]] (blind spots), and [[metamorphopsia]] (distorted vision). | The primary symptom of serpiginous choroiditis is a gradual, painless loss of vision. Other symptoms may include [[photopsia]] (flashes of light), [[scotoma]] (blind spots), and [[metamorphopsia]] (distorted vision). | ||
== Causes == | == Causes == | ||
The exact cause of serpiginous choroiditis is unknown. It is thought to be an [[autoimmune disease]], where the body's immune system mistakenly attacks healthy tissue in the eye. | The exact cause of serpiginous choroiditis is unknown. It is thought to be an [[autoimmune disease]], where the body's immune system mistakenly attacks healthy tissue in the eye. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of serpiginous choroiditis is primarily based on clinical findings, including the characteristic appearance of the lesions on [[fundus photography]] and [[fluorescein angiography]]. Other diagnostic tests may include [[optical coherence tomography]] and [[indocyanine green angiography]]. | Diagnosis of serpiginous choroiditis is primarily based on clinical findings, including the characteristic appearance of the lesions on [[fundus photography]] and [[fluorescein angiography]]. Other diagnostic tests may include [[optical coherence tomography]] and [[indocyanine green angiography]]. | ||
== Treatment == | == Treatment == | ||
Treatment for serpiginous choroiditis typically involves the use of [[corticosteroids]] to reduce inflammation. Other treatments may include [[immunosuppressive drugs]] and [[laser photocoagulation]]. | Treatment for serpiginous choroiditis typically involves the use of [[corticosteroids]] to reduce inflammation. Other treatments may include [[immunosuppressive drugs]] and [[laser photocoagulation]]. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for serpiginous choroiditis is variable. Some individuals may experience only mild vision loss, while others may become legally blind. The condition is chronic and progressive, meaning it tends to worsen over time. | The prognosis for serpiginous choroiditis is variable. Some individuals may experience only mild vision loss, while others may become legally blind. The condition is chronic and progressive, meaning it tends to worsen over time. | ||
== See also == | == See also == | ||
* [[Choroiditis]] | * [[Choroiditis]] | ||
* [[Uveitis]] | * [[Uveitis]] | ||
* [[Retina]] | * [[Retina]] | ||
[[Category:Eye diseases]] | [[Category:Eye diseases]] | ||
[[Category:Inflammatory diseases]] | [[Category:Inflammatory diseases]] | ||
[[Category:Autoimmune diseases]] | [[Category:Autoimmune diseases]] | ||
{{Eye-disease-stub}} | {{Eye-disease-stub}} | ||
{{Med-stub}} | {{Med-stub}} | ||
Latest revision as of 23:00, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Serpiginous choroiditis | |
|---|---|
| |
| Synonyms | Geographic helicoid peripapillary choroidopathy |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Visual impairment, scotoma, photopsia |
| Complications | Choroidal neovascularization, vision loss |
| Onset | Typically between ages 30-70 |
| Duration | Chronic |
| Types | N/A |
| Causes | Unknown, possibly autoimmune |
| Risks | Possible association with HLA-B7 and HLA-DR2 |
| Diagnosis | Fundus examination, fluorescein angiography, indocyanine green angiography |
| Differential diagnosis | Birdshot chorioretinopathy, multifocal choroiditis, acute posterior multifocal placoid pigment epitheliopathy |
| Prevention | N/A |
| Treatment | Corticosteroids, immunosuppressive drugs |
| Medication | N/A |
| Prognosis | Variable, can lead to significant vision loss |
| Frequency | Rare |
| Deaths | N/A |
Serpiginous choroiditis is a rare, chronic, progressive inflammatory condition that affects the choroid of the eye. It is characterized by irregularly shaped (serpiginous) lesions that can lead to severe vision loss.
Symptoms[edit]
The primary symptom of serpiginous choroiditis is a gradual, painless loss of vision. Other symptoms may include photopsia (flashes of light), scotoma (blind spots), and metamorphopsia (distorted vision).
Causes[edit]
The exact cause of serpiginous choroiditis is unknown. It is thought to be an autoimmune disease, where the body's immune system mistakenly attacks healthy tissue in the eye.
Diagnosis[edit]
Diagnosis of serpiginous choroiditis is primarily based on clinical findings, including the characteristic appearance of the lesions on fundus photography and fluorescein angiography. Other diagnostic tests may include optical coherence tomography and indocyanine green angiography.
Treatment[edit]
Treatment for serpiginous choroiditis typically involves the use of corticosteroids to reduce inflammation. Other treatments may include immunosuppressive drugs and laser photocoagulation.
Prognosis[edit]
The prognosis for serpiginous choroiditis is variable. Some individuals may experience only mild vision loss, while others may become legally blind. The condition is chronic and progressive, meaning it tends to worsen over time.
See also[edit]
