Old choroiditis

208 Old choroiditis

Instruction

Examine this patient’s fundus.

Salient features

History

• Decreased vision, floaters, red eye

• History of HIV, sarcoidosis, TB.

Examination

• Old or inactive retinochoroiditis appears as white, well-defined areas of chorioretinal atrophy with pigmented edges (caused by proliferation of retinal pigment epithelium) (Fig. 208.1B)

• The retinal blood vessels pass over the lesions undisturbed.

Fig. 208.1 Toxoplasmic chorioretinitis. (A) Active chorioretinitis with two lesions and vitreous haze in HIV infection. (B) Large inactive macular lesion typical of congenital disease. (C) Active chorioretinitis in an immunocompetent patient showing an inactive lesion on the right and the macular star, which is caused by an exudate around the macula.

(With permission from Mandell et al. 2009.)

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Tags: 250 Cases in Clinical Medicine

Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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