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Course of disease in multifocal choroiditis lacking sufficient immunosuppression: a case report

Please always quote using this URN: urn:nbn:de:bvb:20-opus-171317
  • Background: Multifocal choroiditis with panuveitis is a rare disease. The educational merit of this case presentation results from the good documentation and the impressive ocular fundus pictures. Case presentation: We illustrate the 3-year course of disease in a 22-year-old myopic white woman with multifocal choroiditis with panuveitis and secondary choroidal neovascularization. The activity of the disease was evaluated clinically by optical coherence tomography and fluorescein angiography. Choroidal neovascularization was treated byBackground: Multifocal choroiditis with panuveitis is a rare disease. The educational merit of this case presentation results from the good documentation and the impressive ocular fundus pictures. Case presentation: We illustrate the 3-year course of disease in a 22-year-old myopic white woman with multifocal choroiditis with panuveitis and secondary choroidal neovascularization. The activity of the disease was evaluated clinically by optical coherence tomography and fluorescein angiography. Choroidal neovascularization was treated by intravitreal bevacizumab (2.5 mg/0.1 ml). Our patient lacked systemic therapy for the first 11 months because of noncompliance. Conclusions: The case is remarkable as the delayed onset of peripheral lesions and the additional existence of high myopia made diagnosis difficult. In addition, it demonstrates that full outbreak of disease with multiple central and peripheral fundus lesions and secondary choroidal neovascularization can develop without systemic treatment.show moreshow less

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Metadaten
Author: Katharina Schroeder, Tobias Meyer-ter-Vehn, Heidi Fassnacht-Riederle, Rainer Guthoff
URN:urn:nbn:de:bvb:20-opus-171317
Document Type:Journal article
Faculties:Medizinische Fakultät / Augenklinik und Poliklinik
Language:English
Parent Title (English):Journal of Medical Case Reports
Year of Completion:2016
Volume:10
Issue:298
Source:Journal of Medical Case Reports (2016) 10:298. DOI: 10.1186/s13256-016-1069-2
DOI:https://doi.org/10.1186/s13256-016-1069-2
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Tag:bevacizumab; case report; chorioretinal lesions; multifocal choroiditis; secondary CNV; systemic immunosuppression
Release Date:2019/09/02
Licence (German):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International