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Title Diffuse chorioretinitis manifesting as subretinal exudation
PurposeTo report a case of diffuse chorioretinitis manifesting subretinal exudation
MethodsWe report a case of diffuse chorioretinits. The disease course, lab examination result, medical and surgical treatment, and response were presented.
ResultsA 44 year-old man with monocular diffuse chorioretinitis showed expanding yellow-white subretinal exudation. Routine uveitis
survey showed negative for syphilis, primary toxoplasmosis or viral retinitis. Initial impression was endogenous
endophthalmitis. Systemic anti-fungal treatment showed poor effect. Ocular lymphoma was also considered. Vitreous
biopsy and culture excluded infection disease or lymphoma. We than started steroid and immune-modulation treatment.
The condition improved gradually thereafter. The exudation diminished and chorioretinitis remitted gradually, leaving
diffuse choroidal scar.
ConclusionYellow white exudation is an uncommon manifestation of chorioretinitis. After excluding infection and masquerade
syndrome, immunomodulation treatment should be given carefully to control the inflammation.
Conflict of interestNo
Author 1
Last nameLI
Initials of first name(s)K.H
DepartmentChanghua Christian Hospital, Taiwan
CityChanghua
CountryTaiwan
Author 2
Last nameChen
Initials of first name(s)S.N
DepartmentChanghua Christian Hospital, Taiwan
CityChanghua
CountryTaiwan