1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points
  6. Comments

Case 46 Teaching Points

  • Multifocal choroiditis affects predominantly women between the second and sixth decades
  • Symptoms include decreased vision, floaters, photopsia, visual field defects
  • Signs include bilateral vitritis and multiple yellow choroidal lesions that later evolve into chorioretinal scars similar to "punched out" lesions seen in ocular histoplasmosis
  • Treatment is with topical, periocular, and systemic steroids. More potent immunosuppression may be used for lesions threatening fixation.

References

Dreyer RF, Gass JD. Multifocal choroiditis and panuveitis: a syndrome that mimics ocular histoplasmosis. Arch Ophthalmol 1984;102:1776-1784.

Last Modified: Friday, 27-Jun-2008 12:33:53 EDT