eMedicine Specialties > Ophthalmology > Choroid
Multifocal Choroidopathy Syndromes: Multimedia
Updated: Jul 13, 2006
Multimedia
 | Media file 1: Multifocal choroiditis and panuveitis. Multiple, discreet lesions appearing in the early stage of the disease. |
 | Media file 2: Multifocal choroiditis and panuveitis. Fluorescein angiogram of same eye as in Image 1 demonstrating punctate hyperfluorescence due to staining of the lesions. |
 | Media file 3: Multifocal choroiditis and panuveitis. Late stage of disease manifesting atrophic, punched-out lesions. |
 | Media file 4: Multifocal choroiditis and panuveitis. Fluorescein angiogram demonstrating late phase transmission hyperfluorescence of lesions. |
 | Media file 5: Diffuse subretinal fibrosis syndrome. This patient's right eye shows the typical subretinal angulated scar formation. |
 | Media file 6: Diffuse subretinal fibrosis syndrome. Mid phase of fluorescein angiogram demonstrating progressive leakage hyperfluorescence. |
 | Media file 7: Diffuse subretinal fibrosis syndrome. Late phase of the fluorescein angiogram demonstrating progressive leakage as hyperfluorescence. |
 | Media file 8: Punctate inner choroidopathy. Pigmented central lesions in association with peripapillary scarring. |
 | Media file 9: Punctate inner choroidopathy. Pigmented peripheral lesions. |
 | Media file 10: Punctate inner choroidopathy. Late phase fluorescein angiogram of same patient as in Image 9 demonstrating halo hyperfluorescence of both peripapillary and inferior macular scars, which are more chronic relative to the more active superior macular lesion demonstrating leakage hyperfluorescence. |
 | Media file 11: Multiple evanescent white dot syndrome. Acute manifestation of deep, white spots scattered throughout the posterior pole. |
 | Media file 12: Multiple evanescent white dot syndrome. Another patient with spots similar to those on the patient in Image 11, but this patient also displays the almost pathognomonic granular changes in the macula. |
 | Media file 13: Multiple evanescent white dot syndrome. Fluorescein angiogram of same patient as in Image 12 demonstrating the characteristic late phase mottled hyperfluorescence and staining of the optic disc. |
 | Media file 14: Acute posterior multifocal placoid pigment epitheliopathy. Lesions are typically creamy white and are scattered throughout the posterior pole. Courtesy of Everett Ai, MD, San Francisco, Calif. |
 | Media file 15: Acute posterior multifocal placoid pigment epitheliopathy. Another patient with more peripheral lesions. |
 | Media file 16: Mid phase of fluorescein angiogram of same patient as in Image 15 demonstrating typical leakage and staining of the lesions. |
 | Media file 17: Acute retinal pigment epitheliitis. |
 | Media file 18: Late phase fluorescein angiogram in a patient with acute retinal pigment epitheliitis displaying transmission hyperfluorescence. |
 | Media file 19: Serpiginous (geographic) choroiditis. This patient shows an old, inactive serpiginous scar extending in a pseudo–pod-like fashion from the optic disc. Courtesy of Patrick Monahan, MD, San Jose, Calif. |
 | Media file 20: Serpiginous (geographic) choroiditis. Chronic atrophic lesions that display widespread geographic chorioretinal atrophy with moderate foveal sparing. |
 | Media file 21: Serpiginous (geographic) choroiditis. The transit phase fluorescein angiogram of same eye as in Image 20 demonstrates leakage and staining hyperfluorescence at the margins of the atrophic lesions. The underlying large choroidal vessels are seen easily within the atrophic lesions. |
 | Media file 22: Birdshot (vitiliginous) retinochoroidopathy. Multiple, uniformly hypopigmented lesions with mild disc swelling. |
 | Media file 23: Birdshot (vitiliginous) retinochoroidopathy. Late phase fluorescein angiogram that demonstrates patchy hyperfluorescence. |
 | Media file 24: Birdshot retinochoroidopathy electroretinogram response to a scotopic white light stimulus (arrow). Tracing demonstrates a slight disproportionate reduction of the b-wave response in comparison to the a-wave. |
 | Media file 25: Diffuse unilateral subacute neuroretinitis. Attempted focal laser photocoagulation of a subretinal nematode suspected of being Baylisascaris procyonis. Courtesy of Everett Ai, MD, San Francisco, Calif. |
 | Media file 26: The worm was only later discovered to have migrated from the original site, which initially was targeted for laser treatment. |
 | Media file 27: A second laser treatment was successful at destroying the worm. |
 | Media file 28: Fluorescein angiogram performed on the same eye as in Image 27 immediately after second laser treatment, showing not only the hypofluorescent laser treated areas but also the characteristic mottled hyperfluorescence of diffuse retinal pigment epithelium and choriocapillaris destruction. |
 | Media file 29: Diffuse unilateral subacute neuroretinitis. Late stage of the disease presenting the characteristic pseudo–retinitis pigmentosa features. |
More on Multifocal Choroidopathy Syndromes |
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References
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Further Reading
Keywords
multifocal choroiditis, acute posterior multifocal placoid pigment epitheliopathy, acute retinal pigment epithelitis, Krill disease, multiple evanescent white dot syndrome, birdshot retinochoroidopathy, serpiginous choroiditis, diffuse unilateral subacute neuroretinitis
