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May 1988

Serpiginous Choroiditis With Branch Vein Occlusion and Bilateral Periphlebitis

Author Affiliations


Arch Ophthalmol. 1988;106(5):585-586. doi:10.1001/archopht.1988.01060130635012

To the Editor.  —Serpiginous choroiditis is a recurrent, bilateral, multifocal inflammatory disease. Branch vein occlusion, retinal phlebitis, optic disc drusen, and elevated toxoplasmosis titers were unusual associated findings in the case described below.

Report of a Case.  —A healthy 42-year-old man noted blurring of the vision in his right eye. Visual acuity was 6/24 OD and 6/9 OS. Funduscopic examination disclosed multiple, oval, atrophic choroidal lesions and small optic disc drusen in both eyes. In the right eye, intraretinal hemorrhage characteristic of a branch vein occlusion was seen superotemporally along with focal areas of periphlebitis (Fig 1). In the left eye, an active gray-white lesion contiguous with a geographic zone of choroidal atrophy was present inferior to the macula along with periphlebitis (Fig 2). No cells were present in the vitreous cavity or in the anterior segment. The sedimentation rate, serum fluorescent treponomal antibody absorption, VDRL, and angiotensin-converting enzyme, complete

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