Uvea: Choroiditis

Question 1

Name the white dot syndromes of chorioretinitis?

Answer 1

o Multiple Evanescent White Dot Syndrome (MEWDS)
o Acute Posterior Mulifocal Placoid Pigment Epitheliopathy (APMPPE)
o Birdshot chorioretinopathy
o Punctate inner chorioretinopathy (PIC)
o Multifocal choroiditis
o Serpiginous Choroidopathy

Question 2

Describe Birdshot Chorioretinopathy?

Answer 2

• Uncommon idiopathic bilateral disease
• Commonly affects middle aged women
• HLA-A29 association
• Gradual loss of vision
• Photopsia
• VF loss
• Vitritis (mild)

Question 3

Describe punctate inner chorioretinopathy (PIC)?

Answer 3

• Typically affects young myopic females
• Often preceded by a viral illness
• Flickering lights
• Blurred vision
• Doesn’t necessarily have pain and eyes may not be red
• Lesions which are well-defined are less active

Question 4

Describe multifocal choroiditis?

Answer 4

• Uncommon bilateral posterior/panuveitis
• Acute Anterior Uveitis (AAU) in 50%
• Vitritis common
• Chorioretinal lesions – lots of small lesions dispersed throughout retina in both eyes
• Active inflammation have fluffy edges whereas inactive inflammation have marked well-defined edges