Antiphospholipid antibody syndrome mimicking serpiginous choroidopathy.
OBJECTIVE
To report a patient with antiphospholipid antibody syndrome (APS) presenting with ocular findings similar to serpiginous choroidopathy.


METHODS
Case report.


RESULTS
A man complained of blurred vision. Examination revealed vitritis, vasculitis, retinal ischemia, and neovascularization. Clinical and angiographic features consistent with serpiginous choroidopathy were found. An evaluation for uveitis and retinal vasculitis was remarkable for APS.


CONCLUSIONS
This case expands on previously reported ocular findings associated with APS. Although the role of antiphospholipid antibodies in the pathogenesis remains undefined, the findings, including the serpiginous-like choroidopathy, can be reasonably explained by vaso-occlusion in both the retinal and choroidal vasculature.
Tang
Johnny
J
Research Service, Louis Stokes Cleveland DVA Medical Center, Cleveland, Ohio, USA. bostonretina@aol.com
Fillmore
Gary
G
Nussenblatt
Robert B
RB
D000368:Aged; D016736:Antiphospholipid Syndrome / Q000150:complications / Q000175:diagnosis*; D015862:Choroid Diseases / Q000175:diagnosis*; D004396:Coloring Agents; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007208:Indocyanine Green; D008297:Male; D009389:Neovascularization, Pathologic / Q000175:diagnosis / Q000209:etiology; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000209:etiology; D015861:Retinal Neovascularization / Q000175:diagnosis / Q000209:etiology; D031300:Retinal Vasculitis / Q000175:diagnosis / Q000209:etiology
D004396:Coloring Agents; D007208:Indocyanine Green