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Research Letters | Nov 2012

Eales Disease Associated With Serpiginous Choroiditis

Adrian T. Fung, MBBS, MMed, FRANZCO; Massimo Nicolò, MD; Susanne Yzer, MD, PhD; Carlo Enrico Traverso, MD; Lawrence A. Yannuzzi, MD

Arch Ophthalmol. 2012;130(11):1484-1486. doi:10.1001/archophthalmol.2012.683.

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Eales disease is an idiopathic, usually bilateral, inflammatory, retinal vascular occlusive disorder.¹ Serpiginous choroiditis is an idiopathic, usually bilateral, recurrent acute progressive inflammation of the inner choroid and retinal pigment epithelium.² To our knowledge, we describe the first case of Eales disease followed by serpiginous choroiditis.

Correspondence: Dr Massimo Nicolò, Clinica Oculistica, Di.N.O.G.Mi, Università di Genova, Viale Benedetto XV, n.5 16132 Genova, Italy (massimo.nicolo@unige.it).

Conflict of Interest Disclosures: None reported.

Funding/Support: This work was supported by The Macula Foundation, Inc and Stichting Wetenschappelijk Onderzoek Oogziekenhuis Rotterdam, Rotterdamse Blindenbelangen, Stichting Blindenhulp, Gelderse Blinden Stichting, Landelijke Stichting voor Blinden.

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Figure. Bilateral Eales disease and right serpiginous choroiditis. The patient had left temporal retinal vascular occlusion and neovascularization (A), followed 9 months later by right peripapillary serpiginous choroiditis (B) and peripheral retinal vascular occlusion and neovascularization (C). Peripheral scatter argon laser photocoagulation was applied judiciously to ischemic retina in both eyes to minimize any proinflammatory effects. The area of peripapillary serpiginous choroiditis slowly expanded during the following 7 years, visible on color photographs (D), fluorescein angiography (E), and fundus autofluorescence imaging (F).

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Fung AT, Nicolò M, Yzer S, Traverso C, Yannuzzi LA. Eales Disease Associated With Serpiginous Choroiditis. Arch Ophthalmol. 2012;130(11):1484-1486. doi:10.1001/archophthalmol.2012.683.

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