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Suggest Treatment When Diagnosed With Multifocal Choroiditis
Question: Dear Doctor,
My brother has been diagnosed with multifocal choroiditis 2013 XXXXXXX She went to doctor when she first noticed blurry vision and a round spot in right eye. After diagnosis Dr said she got tuberculosis in the eyes along with multifocal choroiditis. Since then she was taking medication wysolone mostly, but initially started with Ozurdex implant. So far she took 2 times Ozurdex and remaining every occurance (usually 6 to 8 months) she has been taking Wysolone. Even after 3 years completed, she has been repeatedly getting it back and then again her wysalone dosage need to be increased to 60 mg or 80 mg and then tampered to 40,30,20,10..... recently she has started imuno suppression (Azoron along with wysolone).. we are so much worried as she is gaining more weight with steroids. and also side effects will sure be there. Is there any chance that it will reduce?? and now we are in fix whether to take the Ozurdex or increase the dosage of Wysolone? Dr. said if she take injection eye pressure is the problem.. but we said if she takes wysolone, side effects to whole body.. Please kindly suggest a solution for this.. which one would be better? appreciate your help.
My brother has been diagnosed with multifocal choroiditis 2013 XXXXXXX She went to doctor when she first noticed blurry vision and a round spot in right eye. After diagnosis Dr said she got tuberculosis in the eyes along with multifocal choroiditis. Since then she was taking medication wysolone mostly, but initially started with Ozurdex implant. So far she took 2 times Ozurdex and remaining every occurance (usually 6 to 8 months) she has been taking Wysolone. Even after 3 years completed, she has been repeatedly getting it back and then again her wysalone dosage need to be increased to 60 mg or 80 mg and then tampered to 40,30,20,10..... recently she has started imuno suppression (Azoron along with wysolone).. we are so much worried as she is gaining more weight with steroids. and also side effects will sure be there. Is there any chance that it will reduce?? and now we are in fix whether to take the Ozurdex or increase the dosage of Wysolone? Dr. said if she take injection eye pressure is the problem.. but we said if she takes wysolone, side effects to whole body.. Please kindly suggest a solution for this.. which one would be better? appreciate your help.
Brief Answer:
multifocal choroiditis or panuvi itis. diagnosis and treatment is difficult
Detailed Answer:
multifocal choroiditis or pan uveitis the cause is obscure,it is probabilylinked to involvement infection of choroid vitreous blood vessel leading to retina it is also linked to histoplasmosis granulation infection including tuber tuberculosis auto immune disorder-white dot syndrome and cystoid macular degeneration. it is seen to effect middle aged myopic woman. thinking the probability treatment can be imuno supressive steroid eye drop.treatment is difficult since cause is not known. if neovascularization is detected the laser treatment ca be recomanded. thinking tuberculosis antituber cular treatment can be recomanded if sarcoiditis is thought of then wysolone eye drop can be consideredsome cases NASID can be recomandedif symptoms are minimal then notreatment is recomanded. it can recover by its own.it leads to recurence and macular or retinal detachment.tosumup wathshould be kept to observe recurance follow up of examination is essential floaters should be watched
multifocal choroiditis or panuvi itis. diagnosis and treatment is difficult
Detailed Answer:
multifocal choroiditis or pan uveitis the cause is obscure,it is probabilylinked to involvement infection of choroid vitreous blood vessel leading to retina it is also linked to histoplasmosis granulation infection including tuber tuberculosis auto immune disorder-white dot syndrome and cystoid macular degeneration. it is seen to effect middle aged myopic woman. thinking the probability treatment can be imuno supressive steroid eye drop.treatment is difficult since cause is not known. if neovascularization is detected the laser treatment ca be recomanded. thinking tuberculosis antituber cular treatment can be recomanded if sarcoiditis is thought of then wysolone eye drop can be consideredsome cases NASID can be recomandedif symptoms are minimal then notreatment is recomanded. it can recover by its own.it leads to recurence and macular or retinal detachment.tosumup wathshould be kept to observe recurance follow up of examination is essential floaters should be watched
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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