title: [Multifocal choroiditis associated with serpiginous choroiditis and choroidal neovascularization: a case report].
abstract: BACKGROUND
  We treated a patient with multifocal choroiditis (MFC) associated with serpiginous choroiditis and choroidal neovascularization (CNV).
  
  
  METHODS
  In a 27-year-old woman whose left eye showed serpiginous choroiditis near the optic disc and multiple irregular chorioretinal scars and exudates in peripheral and near-peripheral zones, fluorescein angiography demonstrated diffusely scattered hyperfluorescent dots and late leakage from retinal vessels. The lesion near the optic disc showed hypofluorescence in the early venous phase, and hyperfluorescence in the late phase. Sub-Tenon injection of triamcinolone acetonide did not effectively treat the CNV secondary to serpiginous choroiditis, but direct laser photocoagulation was successful, achieving improved visual acuity.
  
  
  CONCLUSIONS
  We suggest that this patient's MFC and serpiginous choroiditis represented a single process rather than independent events. With lesions at the posterior pole, CNV developed secondarily. In this case, direct laser photocoagulation proved useful.
authors.affiliation: Department of Ophthalmology, Sapporo City General Hospital, Japan. yui.takeda@doc.city.sapporo.jp
authors.forename: Yui
authors.initials: Y
authors.lastname: Sato
authors.forename: Muneyasu
authors.initials: M
authors.lastname: Takeda
authors.forename: Hiroko
authors.initials: H
authors.lastname: Imaizumi
authors.forename: Utako
authors.initials: U
authors.lastname: Okushiba
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ogino
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000328:Adult; D020256:Choroidal Neovascularization / Q000150:complications* / Q000601:surgery; D002833:Choroiditis / Q000150:complications* / Q000473:pathology*; D005260:Female; D006801:Humans; D017075:Laser Coagulation