Subject(s)
COVID-19 Vaccines , COVID-19 , COVID-19 Vaccines/adverse effects , Eye , Humans , VaccinationABSTRACT
PURPOSE: To report nine cases of multifocal choroiditis with serpiginous-like peripapillary chorioretinal atrophy. METHODS: A retrospective observational case series of eyes with multifocal choroiditis with serpiginous-like peripapillary chorioretinal atrophy. Multimodal imaging findings were reviewed and presented. RESULTS: Fifteen eyes of 9 patients (6 women and 3 men), with a mean age of 48.1 years (median, 46 years; range, 23-74 years), presented with multifocal choroiditis serpiginous-like peripapillary chorioretinal atrophy. All 15 eyes presented with serpiginoid peripapillary changes and had discrete patches of atrophy or punched-out scars in the posterior pole or periphery. Eleven eyes (73.3%) had cone-shaped retinal pigment epithelium elevations on optical coherence tomography, 10 eyes (66.7%) had mild vitritis, and 4 eyes (26.7%) had peripheral curvilinear streak lesions. Three eyes (20%) had choroidal neovascularization. All patients responded well to treatment with systemic immunosuppression, local corticosteroid injections, and/or intravitreal anti-vascular endothelial growth factor injections. CONCLUSION: Multifocal choroiditis may present with peripapillary chorioretinal changes resembling a serpiginous-like choroiditis in addition to the classic findings of patches of atrophy or punched-out scars in the posterior pole or periphery, cone-shaped retinal pigment epithelium elevated on optical coherence tomography and peripheral curvilinear streak lesions.
Subject(s)
Choroiditis , Cicatrix , Atrophy/pathology , Choroiditis/diagnosis , Choroiditis/drug therapy , Choroiditis/pathology , Cicatrix/pathology , Female , Fluorescein Angiography/methods , Humans , Male , Middle Aged , Multifocal Choroiditis , Retinal Pigment Epithelium/pathology , Retrospective Studies , Tomography, Optical CoherenceSubject(s)
COVID-19/epidemiology , Pneumonia, Viral/epidemiology , Practice Patterns, Physicians' , Retina , SARS-CoV-2 , HumansABSTRACT
This document summarizes the experience of the International Uveitis Study Group (IUSG), the Intraocular Inflammation Society (IOIS), and the Foster Ocular Inflammation Society (FOIS) and can aid as a guide for the treatment of uveitis patients in the era of COVID-19 pandemic.