Clinical profile and outcome of serpiginous choroiditis in a Uveitis Clinic in India

Abstract

Objective: To report the clinical profi le and outcome of treatment in patients with serpiginous choroiditis.

Materials and Methods: A retrospective non-comparative case series was conducted over a period of 1 month. Seventeen eyes of 11 patients that were diagnosed as serpiginous choroiditis were included in the study. Laterality, clinical presentation, presence of any systemic abnormality, best corrected visual acuity (BCVA), lens status, intraocular pressure, findings on funduscopic examination, type of serpiginous choroiditis and treatment modality offered were recorded. Information obtained was entered into SPSS 17.0 data base and analyzed.

Results: There was a male preponderance (3:1). Age at presentation ranged from 14 to 51 years with a mean age of 30 years (±9.95 SD). Eight subjects (64.7%) had bilateral involvement at presentation. Mean visual acuity (VA) improved to 0.34 (±0.45 SD) after treatment from 0.49 at presentation. Vision improved or maintained in 15 eyes, whereas it deteriorated in two eyes due to foveal involvement and choroidal neovascular membrane, respectively.

Conclusion: Patients with serpiginous choroidits can achieve a signifi cant visual improvement following successful treatment with steroids and immunosuppressive treatment.

Keywords: Serpiginous choroiditis, visual impairment, visual improvement