Chorioretinitis

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Chorioretinitis
Ophthalmoscopic findings during vitrectomy. The video shows the whitish cloudy cords and the white retinal spots found during vitrectomy. In a case of placoid chorioretinitis due to Treponema pallidum.
SpecialtyOphthalmology

Chorioretinitis is an inflammation of the

ophthalmologist
's goal in treating these potentially blinding conditions is to eliminate the inflammation and minimize the potential risk of therapy to the patient.

Symptoms

Symptoms may include the presence of floating black spots, blurred vision, pain or redness in the eye, sensitivity to light, or excessive tearing.[2]

Causes

Chorioretinitis is often caused by

sequelae such as chorioretinitis along with hydrocephalus and cerebral calcifications. Other possible causes of chorioretinitis are syphilis, sarcoidosis, tuberculosis, Behçet's disease, onchocerciasis, or West Nile virus.[4] Chorioretinitis may also occur in presumed ocular histoplasmosis syndrome (POHS); despite its name, the relationship of POHS to Histoplasma is controversial.[5][6]

Diagnosis

In general, the diagnosis of chorioretinitis is based on direct examination of active chorioretinal inflammation and/or by detection of leukocytes in the vitreous humor on ophthalmic examination.[7]

Treatment

Chorioretinitis is usually treated with a combination of corticosteroids and antibiotics. However, if there is an underlying cause such as HIV, specific therapy can be started as well.

A 2012 Cochrane Review found weak evidence suggesting that ivermectin could result in reduced chorioretinal lesions in patients with onchocercal eye disease.[8] More research is needed to support this finding.

See also

References

  1. ^ "Choroiditis (definition)". WebMD. Retrieved July 11, 2012.
  2. ^ Berman, Eric L. "Choroiretinitis". NYU Langone Medical Center. Retrieved July 11, 2012.
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  7. ^ "UpToDate". www.uptodate.com. Retrieved 2019-09-11.
  8. PMID 22895928
    .

Further reading

External links