A new OCT finding in tuberculous serpiginous-like choroidopathy

Lana M. Rifkin, Marion R. Munk, Dina Baddar, Debra A. Goldstein*

*Corresponding author for this work

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Purpose: To present a case of tubercular serpiginous-like choroiditis (SLC) with previously unreported choroidal findings on enhanced depth imaging OCT (EDI-OCT). Design: Case report. Methods : A 60-year-old female presented with decreased vision. Serpiginous choroidopathy was diagnosed. Laboratory workup revealed an infectious etiology. EDI-OCT revealed previously unreported choroidal findings. Results: Laboratory workup revealed nonreactive Treponema pallidum antibodies and positive QuantiFERON Gold. CT chest showed scars of prior granulomatous disease. OCT with EDI of active lesions demonstrated infiltration of the choroid, elevation of the RPE-Bruch's membrane complex and focal increase of choroidal thickness. Conclusions: Choroidal infiltration with elevation of the RPE was demonstrated on EDI-OCT in active areas of tuberculous serpiginous-like choroiditis in this patient. This finding has not been described in imaging of patients with noninfectious serpiginous choroidopathy and may be a useful tool to differentiate serpiginous choroidopathy (SC) from serpiginous-like choroiditis (SLC). EDI-OCT may provide characterization of choroidal involvement.

Original languageEnglish (US)
Pages (from-to)53-58
Number of pages6
JournalOcular Immunology and Inflammation
Volume23
Issue number1
DOIs
StatePublished - Feb 1 2015

Keywords

  • Autofluorescence
  • Choroiditis
  • Optical coherence tomography
  • Serpiginous choroidopathy
  • Serpiginous-like choroiditis
  • Tuberculosis
  • Uveitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Ophthalmology

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