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KMID : 1151620170020010033
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Journal of Retina
2017 Volume.2 No. 1 p.33 ~ p.37
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Optical Coherence Tomography Findings of Serpiginous-like Choroiditis in Ocular Tuberculosis and Serpiginous Choroiditis
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Shin Yong-Tae
Kim Jong-Ho
Park Dong-Ho
Kim In-Taek
Shin Jae-Pil
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Abstract
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Purpose: To report the usefulness of coherence tomography findings in differential diagnosis of serpiginous-like choroiditis in ocular tuberculosis and serpiginous choroiditis.
Case summary: (Case 1) A 51-year-old male presented with blurred vision in the right eye. Fundus examination revealed peripapillary multiple yellowish serpiginous chorioretinal lesions in the right eye. Fluorescein angiography of the active lesion showed hypofluorescence in the early phase and hyperfluorescence in the late phase. Indocyanine green angiography showed hypofluorescence during the early and late phase. Optical coherence tomography of the active lesion showed thick choroidal infiltration, as well as infiltration of the retinal pigment epithelium and loss of choriocapillaries. The quantiFERON-TB test was positive and the patient was diagnosed with serpiginous-like choroiditis in ocular tuberculosis. (Case 2) A 43-year-old male who had been treated for serpiginous choroiditis presented with decreased visual acuity in both eyes. Fundus examination revealed multiple serpiginous chorioretinal atrophic lesions in both eyes, and there was no recurrence lesion. During follow up examination, a new active lesion was observed. Fluorescence angiography and Indocyanine green angiography findings of the active lesion were similar to that of case 1. Optical coherence tomography of the active lesion showed irregularly elevated retinal pigment epithelium and loss of inner and outer segments of the photoreceptors line. He was diagnosed with recurrence of serpiginous choroiditis.
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KEYWORD
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Ocular tuberculosis, Optical coherence tomography, Serpiginous choroiditis, Serpiginous-like choroiditis
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