coroiditis serpiginosa
DESCRIPTION
Instituto de la vision Montemorelos N.LServicio de RetinaTRANSCRIPT
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2 2 N O V I E M B R E 2 0 1 0
Coroiditis SerpiginosaInstituto de la visón
Servicio de retina
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Epidemiologia
Mayoría son Raza Blanca
Hombres > Mujeres
Negros, asiáticos y Hispanos
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Presentación
Inicialmente un ojo afectado
PIO normal
BMC “casi” siempre normal
Celularidad de ¼ a 1/3 en el vitreo
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Presentación Clínica
La lesión Coroides Interna y/o EPR
Color amarillo grisáceo y apariencia difusa
Forma Geográfica, bordes bien definidos
Las lesiones proceden del D.O
Gris Pálido en pocas semanas en forma de serpentina
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Presentación Clínica
CV con lesiones/Escotomas/ Rejilla Amsler
Pruebas electrofisiológicas
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Diagnostico
Evaluación Clínica
FAG
ICG
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FAG
Primera fase – Lesión aguda – Hipofluorecencia
Etapas tardías – Fluoresce en zonas de lesión
Lesiones agudas o crónicas hipofluorecen por la Coriocapilaris
Coroides destruida
Hiperfluorecencia tardía se observa en lesiones fibrosas cicatriciales
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FAG
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ICG
Etapas Agudas – Hipofluorescencia en todas las etapas
Anormalidad de los vasos coroideos o resistencia vascular coriocapilar
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Diagnostico Diferencial
Multifocal posterior placoid pigment epitheliopathy (AMPPPE)
CNV
Histoplasmosis ocular
Degen. Macular
Toxoplasmosis
Escleritis Posterior
Coroiditis multifocal
Sarcoidosis
Linfoma no Hodgking’s
Tumor metatasico
Osteoma Coroideo
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Tratamiento
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FAG
ICG
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PREGUNTAS Y COMENTARIOS