Multifocal choroiditis with retinal vasculitis, optic neuropathy, and keratoconus in a young Saudi male

Yousef Dhafiri, Khalid Al Rubaie, Omar Kirat, William N. May, Quan D. Nguyen, Igor Kozak

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study is to describe an association of unilateral multifocal choroiditis (MFC), retinal vasculitis, optic neuropathy, and bilateral keratoconus in a young Saudi male. A 27-year-old male patient with stable bilateral keratoconus presented with a painless vision loss in his left eye. Ophthalmic examinations revealed multiple foci of idiopathic chorioretinitis, retinal vasculitis, and mild optic disc leakage on fluorescein angiography, all of which resolved on systemic therapy with mycophenolate mofetil and prednisone after 3 months. Systemic medication was stopped after 8 months. One year after presentation, patient's visual acuity has improved and remained stable. Systemic immunomodulatory therapy can be effective in managing and leading to resolution of MFC, retinal vasculitis, and optic disc leak in young patients.

Original languageEnglish (US)
Pages (from-to)109-112
Number of pages4
JournalMiddle East African Journal of Ophthalmology
Volume24
Issue number2
DOIs
StatePublished - Apr 1 2017

Keywords

  • Immunomodulatory therapy
  • keratoconus
  • multifocal choroiditis
  • optic neuropathy
  • retinal vasculitis
  • uveitis

ASJC Scopus subject areas

  • Ophthalmology

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