Clinical outcome of macula involved serpiginuos choroiditis cases with intravenous methyl prednisolone
Journal Title: Medpulse International Journal of Ophthalmology - Year 2017, Vol 3, Issue 1
Abstract
Clinical Outcome of macula involved serpiginuos choroiditis cases with intravenous methyl prednisolone. Retrospectively 40 eyes of 33 patients of serpiginous choroiditis with macular involvement treated with 1gm/day intravenous methyl-prednisolone for 3 consecutive days,followed by oral steroids and Azathioprin in the tapering dosage. On first follow-up after one week of IVMP therapy, all cases showed clinical evidence of inactivity. Thirty-three (82.5%) showed improved visual acuity ,6( 15%) maintained the vision while only one deteriorated by one snellen’s line. Four patients develop recurrence during follow up, out of which one patient had two episodes of recurrence, which was treated by adding cyclosporine instead of Azathioprin. We reported use of IVMP with azathioprine without any serious side effect and was also very effective in early visual recovery and controlling inflammation. We recommend use of intravenous methyl prednisolone as an initial therapy in serpiginous choroiditis with macular involvement.
Authors and Affiliations
Girish Gadre, B S Joshi, D K Sindal
Keywords
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