Ординатура / Офтальмология / Английские материалы / Illustrated Tutorials in Ophthalmology Kanski, Bolton 2001

APMPEE

•Treatment - nil

•Course - 4 weeks

•Complications - nil

•Prognosis - good

Residual RPE changes

Punctate inner choroidopathy ( PIC )

•Young, myopic females

•Eventually bilateral but asymmetrical

•Deep, small, indistinct yellow spots at posterior pole

•All same age

•No vitritis

FA of punctate inner choroidopathy

Punctate inner choroidopathy

•Treatment - not beneficial

•Course - several weeks

•Complications - occasional choroidal neovascularizatio (CNV )

Residual dumb-bell shaped scars

FA of CNV in punctate inner choroidopathy

Birdshot retinochoroidopathy

•Middle-aged (F > M)

•HLA - A29

•Deep, oval, creamy, indistinct spots

•Radiate from disc towards equator

•Moderate vitritis

Birdshot retinochoroidopathy

•Treatment - steroids and immunosuppressive agents

•Course - chronic-remittent

•Complications - CMO

•Prognosis - guarded

Residual punched-out, non-pigmented scars

Multifocal choroiditis with panuveitis

•Adults (20-50) ( F > M )

•Bilateral but asymmetrical

•Deep, discrete, grey-yellow spots

•Mixed fresh and old

•Mid-periphery and fewer at posterior pole

•Moderate to severe panuveitis

Multifocal choroiditis with panuveitis

•Treatment - steroids

•Course - chronic-remittent

•Complications - CMO and occasional subretinal fibrosis

•Prognosis - guarded

Residual pigmented scars