Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis
Optical coherence tomography angiography (OCTA) is a non-invasive technique that is useful in the diagnosis and management of patients with posterior uveitis. Here we report the use of swept source OCTA (SS-OCTA) in a patient with tuberculosis (TB) associated serpiginous like choroiditis (TB-SLC) th...
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doaj-30b1b24b6bbc41a8bd88fadfde7302462021-02-19T04:23:39ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-03-0121101018Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditisGayathri C. Tummala0Zhongdi Chu1Jessica E. Weinstein2Ruikang K. Wang3Kathryn L. Pepple4University of Washington, Department of Ophthalmology, Seattle, WA 98104, USADepartment of Bioengineering, University of Washington, Seattle, WA 98195, USAUniversity of Washington, Department of Ophthalmology, Seattle, WA 98104, USAUniversity of Washington, Department of Ophthalmology, Seattle, WA 98104, USA; Department of Bioengineering, University of Washington, Seattle, WA 98195, USAUniversity of Washington, Department of Ophthalmology, Seattle, WA 98104, USA; Corresponding author. 908 Jefferson St, Seattle, WA, 98104, USA.Optical coherence tomography angiography (OCTA) is a non-invasive technique that is useful in the diagnosis and management of patients with posterior uveitis. Here we report the use of swept source OCTA (SS-OCTA) in a patient with tuberculosis (TB) associated serpiginous like choroiditis (TB-SLC) that made a full visual recovery following treatment with ATT, local and systemic corticosteroids, and systemic immune modulation. By comparing en face images of choriocapillaris (CC) blood flow before and after treatment, we conclude that the patient's visual recovery was associated with resolution of extensive CC flow deficits. This case highlights the utility of SS-OCTA in the multimodal evaluation of patients with choroidal inflammation, and the potential for good visual recovery in patients treated for TB-SLC.http://www.sciencedirect.com/science/article/pii/S2451993621000098Swept source optical coherence tomography angiographyTubercular serpiginous-like choroiditisSerpiginous choroiditisChoriocapillarisChoroiditisUveitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gayathri C. Tummala Zhongdi Chu Jessica E. Weinstein Ruikang K. Wang Kathryn L. Pepple |
spellingShingle |
Gayathri C. Tummala Zhongdi Chu Jessica E. Weinstein Ruikang K. Wang Kathryn L. Pepple Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis American Journal of Ophthalmology Case Reports Swept source optical coherence tomography angiography Tubercular serpiginous-like choroiditis Serpiginous choroiditis Choriocapillaris Choroiditis Uveitis |
author_facet |
Gayathri C. Tummala Zhongdi Chu Jessica E. Weinstein Ruikang K. Wang Kathryn L. Pepple |
author_sort |
Gayathri C. Tummala |
title |
Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis |
title_short |
Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis |
title_full |
Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis |
title_fullStr |
Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis |
title_full_unstemmed |
Swept source OCTA reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis |
title_sort |
swept source octa reveals a link between choriocapillaris blood flow and vision loss in a case of tubercular serpiginous-like choroiditis |
publisher |
Elsevier |
series |
American Journal of Ophthalmology Case Reports |
issn |
2451-9936 |
publishDate |
2021-03-01 |
description |
Optical coherence tomography angiography (OCTA) is a non-invasive technique that is useful in the diagnosis and management of patients with posterior uveitis. Here we report the use of swept source OCTA (SS-OCTA) in a patient with tuberculosis (TB) associated serpiginous like choroiditis (TB-SLC) that made a full visual recovery following treatment with ATT, local and systemic corticosteroids, and systemic immune modulation. By comparing en face images of choriocapillaris (CC) blood flow before and after treatment, we conclude that the patient's visual recovery was associated with resolution of extensive CC flow deficits. This case highlights the utility of SS-OCTA in the multimodal evaluation of patients with choroidal inflammation, and the potential for good visual recovery in patients treated for TB-SLC. |
topic |
Swept source optical coherence tomography angiography Tubercular serpiginous-like choroiditis Serpiginous choroiditis Choriocapillaris Choroiditis Uveitis |
url |
http://www.sciencedirect.com/science/article/pii/S2451993621000098 |
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