DR. NIDA KHAN

DR. ARADHNA MISHRA, DR. MANALI SINGHAL, DR. NAVNI GARG

Abstract

Aim: To report a rare case of autoimmune central serpiginous chorioretinitis. Material: A 30-year-old male came with decreased vision in left eye (LE) for last 15 days. He noticed floaters (RE) 2 years back. Vision was RE: Plano 6/6 & LE 6/18. Anterior segment was normal. Fundus RE showed multiple hypopigmented patches with hyperpigmented margins. LE showed no vitritis, normal disc with a ~5*4DD hypopigmented lesion with well-defined margins extending in a wavy pattern & a small yellowish lesion with fuzzy margins present temporal to fovea. IGRA was negative & CT: normal. A diagnosis of RE: healed disseminated choroidits & LE: central active serpiginous chorioretinitis was made. PST injection * LE & Tab. Prednisolone was given. After 7 days, vision improved to 6/12 & lesion started healing. Conclusion: Even in a country overburdened with cases of TB choroiditis, a diagnostic possibility of autoimmune central (5%) serpiginous chorioretinitis should be suspected & promptly treated.