DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20203154

Serpiginous choroiditis: a complex pharmacotherapeutic approach

Amitrajit A. Pal, Abhijeet D. Joshi

Abstract


Serpiginous choroiditis is a rare recurrent eye disorder which is characterized by formation of irregularly shaped (serpiginous) lesions involving two layers of the eye surface (the retinal pigment epithelium and the choriocapillaris). It is a rare clinical entity which causes less than 5% of posterior uveitis cases (3.9/1, 00,000 person-years). Diagnosing this rare disorder is a challenge in itself followed by its complex pharmacotherapeutic approach which is seen in the following case report. It will aid in bringing to light the various challenges faced in treatment to open a window for early diagnosis and better treatment regimens while keeping in mind the constant motivation and relaxed mind a patient needs to fight such a rare disease.


Keywords


Serpiginous, Choroiditis, Lesions, Uveitis, Rare

Full Text:

PDF

References


Kanski's Clinical Ophthalmology. Kanski JJ, ed. Clinical Opthalmology, 2nd Edition. Butterworth-Heineman, 1990: 171-172.

Laatikainen L, Erkkilä H. A follow-up study on serpiginous choroiditis. Opthalmologys. 1981;59(5)707-18.

Denniston AK, Barry RJ. Controversies in the Pharmacological Treatment of Uveitis. Curr Pharm Des. 2015 ;21(32):4682-7.

Biswas J, Narain S, Das D, Ganesh SK. Pattern of uveitis in a referral uveitis clinic in India. Int Ophthalmol. 1996;20(4):223-8.

Rathinam SR, Krishnadas R, Ramakrishnan R, Thulasiraj RD, et al. Population-based prevalence of uveitis in Southern India. Br J Ophthalmol. 2011;95(4):413-7.

Citron KM, Thomas GO. Ocular toxicity from ethambutol. Thorax. 1986;41:737-9.

Hadda V, Pandey B D, Gupta R, Goel A. Azathioprine induced pancytopenia: A serious complication. J Postgrad Med. 2009;55:139-40.