A case of multifocal choroiditis and panuveitis resulting in localized retinochoroidal atrophy Takashi Harada 1 , Taro Sugino 1 , Yoshihisa Kojima 1 , Shouji Arai 1 , Yoshinao Majima 1 1Dept of Ophthalmol, Fujita Health Univ Sch of Med pp.969-974
Published Date 1998/5/15
DOI https://doi.org/10.11477/mf.1410905898
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A 69-year-old female had been treated for presumed uveitis since 6 months before. Her best visual acuity was 0.5 in either eye. Both eyes showed cells and flare in the aqueous. The right fundus showed exudates along the retinal vessels. The left eye showed similar exudates in the temporal periphery only. Fluorescein angiography showed hyperpermeability of retinal vessels and hyperfluorescence of the disc. Sarcoidosis was ruled out on systemic and laboratory studies. She was diagnosed as panuveitis of unclassified nature. When she was seen 4 years later, the visual acuity was 0.04 right and 0.7 left. Dense vitreous opacity was present in the right eye. Punched-out atrophic lesions and fresh exudates were present in the peripheral fundus in both eyes. We diagnosed her, in retrospect, as multifocal choroiditis and panuveitis manifesting fresh and atrophic fundus lesions years after onset.

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