Author: Sara El Hachimi (Morocco)
Co-authors: Jihane Ait Elhaj, Adil Mchachi, Leila Benhmidoune, Abderrahim Chakib, Rayad Rachid, Mohamed El Belhadji
The aim of our work is to present the clinical, therapeutic and prognostic aspect of multifocal choroiditis.
adult ophthalmology department, hospital 20 aout, casablanca, morocco
first case: 25-year-old female patient, without any particular pathological history, who presented one week one week before her admission, she presented a visual fog of the left eye. On examination we found a corrected VA of the OG at 6/10, eye tone and normal anterior segment examination. On the fundus, we note the presence of yellowish patches with slightly blurred edges and confluence. second case: 20-year-old patient, without any particular pathological history, who presented a rapidly progressive decrease in visual acuity 10 days before his admission in both eyes, more on the left than on the right. On examination, the corrected visual acuity of the right eye was 3/10 and the corrected visual acuity of the left eye was 1/10. the left eye at 1/10, an ocular tonus and an examination of the anterior segment normal at the level of the two eyes, and confluent yellowish areas on the fundus.
fist case: On angiography, we note the presence of hypofluorescent lesions at early times and hyperfluorescent lesions at late times in the left eye. The macular OCT was normal. An etiological workup was initiated: CBC-PQ, ESR and CRP were normal, viral serologies (hepatitis, herpes, CMV), toxoplasmosis and syphilis serologies, the and syphilis, the enzyme conversion test and the tuberculin test were negative, and the chest X-ray was chest X-ray was also normal. The patient was put on oral corticosteroid therapy with good clinical evolution. about second case: Fluorescein retinal angiography shows at early times multiple deep lesions hypofluorescent at early times, becoming hyperfluorescent at later times without hyperfluorescent at later times without associated papillitis or retinal vasculitis. An etiological workup nevertheless eliminates an infectious or inflammatory cause such as sarcoidosis or tuberculosis as well as viral causes.
Choroiditis is a rare benign condition of unknown etiology and remains a diagnosis of elimination, occurring in young adults and affecting mostly women, its pathophysiology remains partially unknown, only symptomatic treatments based on steroidal anti-inflammatory drugs or Its physiopathology remains partially unknown, only symptomatic treatments based on steroidal anti-inflammatory drugs or immunosuppressants can have a curative or preventive therapeutic effect.
August 20 hospital, casablanca