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KMID : 1151620160010020059
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Journal of Retina
2016 Volume.1 No. 2 p.59 ~ p.67
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Multifocal Choroiditis and Punctate Inner Choroidopathy through Multimodal Imaging: A Comment on the Present Nomenclature
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Kang Hyun-Seung
Beyun Sek-Ho
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Abstract
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Multifocal choroiditis (MFC) has been defined as a disease characterized by multifocal choroidal inflammatory lesions occurring predominantly in young myopic women, idiopathic in origin, and not associated with any systemic disorder. However, there are numerous diseases that share similar features and definitions, such as “punctate inner choroidopathy (PIC),” complicating the differential diagnosis. Many of the present authors regard MFC and PIC to be the same disorder and include them under the single diagnosis “idiopathic MFC” regardless of the presence of ocular inflammation. In addition, there are many diagnostic terms that overlap or duplicate idiopathic MFC, again complicating the differential diagnosis. Recent advancement in technology has allowed a technique called ‘multimodal imaging,’ which has produced new findings about previously little-known diseases. These new findings have shown that many cases of what were diagnosed as idiopathic choroidal neovascularization (CNV) or myopic CNV were actually secondary to unrecognized MFC/PIC. In other words, the incidence of MFC/PIC was underestimated. Recent findings with multimodal imaging suggest a reappraisal of the pathophysiology of these diseases. Herein, we introduce recent reports of MFC/PIC based on multimodal imaging.
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KEYWORD
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Enhanced depth imaging OCT, Multifocal choroiditis, Multifocal choroiditis and panuveitis, Multimodal imaging, Punctate inner choroidopathy
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