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73-year-old male with blurry vision and medical history of hypertension, nephropathy, and antiphospholipid syndrome. Improved with mycophenolate therapy. Discussion on the uncommon choroidopathy caused by vascular alterations and treatment options.
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CHORIORETINOPATHY AND ANTIPHOSPHOLIPID SYNDROME María Caridad Martínez Hergueta Belén Sánchez Cañal Jose Juan Mondejar García Hospital General Universitario de Alicante
Clinic case • 73 year-oldmale, withblurryvision • Medical history: • Hypertension, nephropathy,antiphospholipidsyndrome • Cataractsurgerybotheyes , sulcus IOL righteye • Ocular exam • Visual acuity OD 0.3 / OI 0.6
OCT OD OS
AGF ANA +, antiSm +, antiRNP +, antiRo + Improvementwithmycophenolatetherapy
Discussion • Thiskind of choroidopathyisveryuncommon • It is caused by choroidal vascular alterations with decreased blood flow because of immunecomplexes or antibodies • It is produced neurosensoryretinaldetachment Treatmentconsists in thediseasecontrol withcorticosteroidsand immunosuppressive drugs