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Serpiginous choroiditis in a herpes-positive patient
- Source :
- Optometry and vision science : official publication of the American Academy of Optometry. 88(6)
- Publication Year :
- 2011
-
Abstract
- BACKGROUND Viruses are one of the most common causes of infections involving the posterior segment of the eye. Viral infections can be congenital or acquired and can affect the retina, choroid, or optic nerve. Herpes simplex virus has been implicated in a number of posterior segment conditions, including serpiginous choroiditis (SC), which has generally been described as idiopathic. CASE REPORT A 57-year-old black female presented with decreased and distorted vision in both eyes, of 10 months duration. Funduscopy revealed radial, deep grayish lesions emanating off of the optic disc in a peripapillary fashion. The clinical appearance was suggestive of SC, which was confirmed by fluorescein angiography. Serologic testing was positive for herpes simplex virus and thus may suggest a causative link between the virus and the choroiditis. CONCLUSIONS SC has been historically cited as an idiopathic process. There have been only rare reports linking this process with a viral etiology. Laboratory testing and clinical work-up needs to be obtained in any patient suspected of having SC, to detect a viral etiology. Treatment of an underlying condition may lead to optimum resolution in these patients.
- Subjects :
- Indocyanine Green
Pathology
medicine.medical_specialty
Choroiditis
viruses
Vision Disorders
medicine.disease_cause
Antiviral Agents
Diagnosis, Differential
Adrenal Cortex Hormones
Medicine
Humans
Serologic Tests
Fluorescein Angiography
Coloring Agents
Serpiginous choroiditis
medicine.diagnostic_test
business.industry
Herpes Simplex
Middle Aged
medicine.disease
Fluorescein angiography
eye diseases
Posterior segment of eyeball
Ophthalmology
Herpes simplex virus
medicine.anatomical_structure
Optic nerve
Female
sense organs
Choroid
business
Tomography, Optical Coherence
Optometry
Optic disc
Subjects
Details
- ISSN :
- 15389235
- Volume :
- 88
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Optometry and vision science : official publication of the American Academy of Optometry
- Accession number :
- edsair.doi.dedup.....8ec5c45a6ffa5eafd6d2b274c88df04a