Acute multiple ischemic choroidopathy: a case report?

summary

This disease is also known as "acute multi-source ischemic choroidal disease". The etiology of the disease is not clear yet. It is considered to be an immune disease. It may cause some blood vessels in the whole body due to the immune reaction caused by virus antigen. One case of acute multiple ischemic choroidopathy? Let's talk about it

Acute multiple ischemic choroidopathy: a case report?

Fundus: in the acute stage, there are gray white flat squamous or round disease sources scattered under the retina of the posterior pole, and the boundary is fuzzy, which can be fused into a map; After absorption of the disease source, hyperpigmentation appeared in the center of the lesion and depigmentation appeared around the lesion. The new and old sources of disease can exist at the same time.

Fundus fluorescein angiography: acute stage: in the early stage of angiography, the source of the disease showed low fluorescence, and in the late stage, strong fluorescence; Recovery period: mottled fluorescence due to decolorization and hyperpigmentation,

More common in young adults, both eyes at the same time or have the disease, occasionally monocular, easy to relapse. The onset was acute, the visual acuity decreased sharply, and the vision was deformed. Fundus fluorescein angiography can assist in the diagnosis.

matters needing attention

Corticosteroids and indomethacin were used in the acute stage of the disease. Corticosteroids combined with antiviral sulfonamides and other drugs. Indomethacin, vasodilators and vitamins. All kinds of vitamins and vasodilators can be used in combination.