Retinal vasculitis with multifocal retinochoroiditis

Abstract

We found a multifocal retinochoroiditis in 16 patients (13 female, 3 male). Patients also showed vitreous cells, in some cases pronounced retinal vasculitis, cystoid macular edema and papilledema. The patients ranged in age from 62 to 77 years. The anterior segment was involved in 13 cases. One patient demonstrated subretinal neovascularisation in both eyes. Fluorescein angiograms showed leakage from the retinal vessels, papilledema, macular edema and subretinal neovascularisation. A convincing classification of the described changes within any known disease entity was impossible. The findings most closely resembled a disease described by Dreyer and Gass in 1984 as 'multifocal choroiditis and panuveitis'.

Peripheral multifocal chorioretinitis with panuveitis: clinical and immunogenetic characterization in older patients

“…Old lesions appear as small sharp atrophic scars surrounded by a pigmented border [5]. Additional signs of the disease can be retinal vasculitis, papillitis, peripapillary pigmentation, cystoid macular edema, subretinal neovascularization at the posterior pole, or an acutely enlarged blind spot [5,7,14,18]. A variation of the clinical picture can be seen in several reports of MCP.…”

Efficacy of Anti-VEGF and Subtenon Injection of Triamcinolone Acetonide for Choroidal Neovascularization Associated with Multifocal Choroiditis

“…However, many patients still have CNV after corticosteroids treatment alone. Anti-VEGF treatment has been showed to be effective in destroying CNV with almost no injury to the retina [6]. In this article, we retrospectivey reviewed the efficacy of combined intravitreal anti-VEGF and sub-tenon injection of TA in treating CNV in 7 patients with MC at our clinic.…”