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类型_Inner Choroidopathy extras点状内层脉络膜病变演员课件.pptx

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    _Inner Choroidopathy extras点状内层脉络膜病变演员课件.pptx
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    1、Punctate Inner ChoroidopathyAhmed Magdy Bedda, MD, PhDProfessor of OphthalmologyRowayda M. Amin, MScAssistant lecturer of OphthalmologyAlexandria UniversityOcular Historyn 25 year old female presented with recent diminution of vision in her ODn gradual progressive loss of vision in her OS over the p

    2、revious 1.5 yearsn no steroid or immunomodulatory therapyFirst presentationn OD:n BCVA 6/12n anterior segment wasunremarkablen trace vitreous celln Fundus: nsmall, white-yellow lesions at the level of the choroid and RPE that surround the disc and the macular regionFirst Presentationn OS:n BCVA 1/60

    3、n Anterior segment unremarkablen no vitreous celln Fundus: nmultiple small, white-yellow punched out lesions that surround the disc with older pigmented lesions involving the maculaInvestigationsn FA: Early hyperfluorescence with late staining and leakage of the macular lesionsInvestigationsn FA: Ea

    4、rly hyperfluorescence with late staining and leakage of the macular lesionsTreatmentn oral prednisone n60 mg daily for two weeks nfollowed by weekly 10 mg taper down to 20 mgnthen 5 mg biweekly taper over another 4 weeks n Azathioprine 50mg bid6 Weeks after Treatmentn OD:n BCVA 6/9n Fundus lesions h

    5、ave scarred and are more well-defined with adiscrete border.6 Weeks after Treatmentn OS:n BCVA: 6/9n Fundus lesions have more well-defined edges and a punched-out appearance with some more pigmentation.Conclusionn PIC is an idiopathic disorder within the spectrum of multifocal choroiditidesn typically it is not associated with intraocular inflammationn prognosis is good unless complicated with submacular lesions or choroidal neovascular membranes

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