1 / 14

Serpiginous choroiditis/Geographic helicoid peripapillary choroidopathy (GHPC)

Dr. Rathinam Sivakumar HOD - Uveitis Services Aravind Eye Hospital, Madurai India. Serpiginous choroiditis/Geographic helicoid peripapillary choroidopathy (GHPC). Ocular History. 19 year old male, engineering student

agnesv
Download Presentation

Serpiginous choroiditis/Geographic helicoid peripapillary choroidopathy (GHPC)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Dr.RathinamSivakumar HOD - Uveitis Services Aravind Eye Hospital, Madurai India Serpiginous choroiditis/Geographic helicoid peripapillary choroidopathy (GHPC)

  2. OcularHistory 19 year old male, engineering student presented with c/o sudden onset painless progressive defect of vision in OD since 5 days no similar complains in the past

  3. General History No h/o trauma No h/o cough, fever, weight loss in recent past No h/o urogenital ulcerations No h/o bleeding discariasis No h/o neurological symptoms No h/o any systemic illness

  4. patient moderately built and fairly nourished conscious, co-operative, oriented to time, place and person afebrile no joint swellings no rashes, nodules, vesicles no pallor, icterus, cyanosis or lymphadenopathy BP-110/80 mm Hg pulse -80 /min, regular, good volume, equal on both sides General examination

  5. CVS - Normal RS - Normal Abdomen – Normal CNS – No focal neurological deficit Visual Acuity (Snellen’s) OD-6/60 OS-6/6 General Examination

  6. Ocular Examination Ocular Examination –

  7. Fundus OD: Yellow arrow- healed lesions Red arrow-active lesion over macula OS: healed chorioretinal scars

  8. FFA- Active stage • “Block early, stain late” FFA • Distinctly insidious • Chronic • Recurrent • variable in size and shape, • variable stages of progression, Serpiginous choroiditis

  9. TLC - 9,600 cells/cumm DLC – N 58%/ L 30%/ E 12 % RBC - 3.4 million cells/cumm Hb – 13.4 gm% ESR 4mm-30min, 10 mm in 1 hr Fasting sugar - 73 mg % Blood urea - 14 mg% Serum creatinine - 0.9 mg% Tuberculin skin test (5 ppd) - negative TPHA – negative HIV - negative Investigations

  10. Diagnosis • Serpiginious chorioretinitis • not associated tosystemicdisorders

  11. Diagnosis based on • Clinical picture • FFA findings • Investigations • Negative tuberculin skin test • Negative VDRL • Normal spiral CT chest

  12. Oral prednisolone 60mg OD in tapering doses Treatment

  13. Follow ups of the OS • June 27, 2009 6/60 • 2 weks later 6/36 • 3 weeks later 6/24 • no recurrences

  14. Asymptomatic if macula is spared chronic recurrent Often we see a previous scar Early hypo and leak late Central hypo and leaking borders Vision loss > 2 lines GHPC Symptoms Onset course FFA Active stage FFA Healed stage prognosis Thank you

More Related