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Serpiginous Choroidopathy

Serpiginous Choroidopathy

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Serpiginous Choroidopathy

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  1. SerpiginousChoroidopathy Serpiginouschoroidopathy (also known as Geographic choroidopathy) usually affects the choroid, the choriocapillaris and the retinal pigment epithelium in both eyes. The process begins around the disc and new lesions which are usually white or yellow appearance are seen near an old lesion. The name comes from the “serpentine course” of the lesions. In (A) and (B) you can appreciate the peri-disc lesions extending in a characteristic “centripital” pattern. The condition can be chronic. Visual acuity may decrease in an acute attack, but usually returns to the previous level. Treatment has been variable with immunosupression. (A) SerpiginousChoroidopathy.Here you see old lesions more distally and newer lesions extending from the disc.Photograph courtesy of Paul Zimmerman, MD (B) SerpiginousChoroidopathy.Here you see acute lesions around the disc. Photograph courtesy of Paul Zimmerman, MD

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