Nitin Kumar* and Jyotirmay Biswas
Medical Research Foundation, 18 College Road, India
Received date: August 08, 2016; Accepted date: August 17, 2016; Published date: August 20, 2016
Citation: Kumar N, Biswas J (2016) Bilateral Healed Serpiginous Choroiditis. J Clin Exp Ophthalmol 7:i101. doi:10.4172/2155-9570.1000i101
Copyright: © 2016 Kumar N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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65 Y/F presented with acute onset decreased vision both eyes since 1 month. On examination, visual acuity at presentation was CF 1 meter in right eye and 6/18 in left eye on snellens chart. Anterior chamber both eyes were quiet and there were no vitreous cells. Fundus showed multiple active choroiditis patches involving fovea in right eye and threatening fovea in left eye. There were glaucomatous optic disc changes in both eyes. Investigations showed mantoux test and quantiferon test to be positive. We made a provisional diagnosis of bilateral serpiginous choroiditis with glaucomatous optic neuropathy. Three doses of intravenous methylprednisolone were given. Patient was then shifted to oral steroids in tapering doses and anti-tubercular drugs were given for a period of nine months. Fundus both eyes after 10 months of follow up showed healed choroiditis patches. On last follow up,visual acuity was CF 3 metres in right eye and 6/6 in left eye (Figures 1 and 2).