title: Serpiginous choroiditis with atypical presentation treated with intravenous methyl prednisolone.
abstract: OBJECTIVE
  The purpose of this study is to report a case of atypical serpiginous choroiditis presenting with disc edema and exudative retinal detachment, treated successfully with intravenous methyl prednisolone.
  
  
  METHODS
  A 45-year-old male patient presented with sudden decrease of vision in his left eye. On examination, left eye showed disc edema, exudative retinal detachment, and active serpiginous choroiditis. He was treated with intravenous methyl prednisolone followed by oral steroids and Azathioprine.
  
  
  RESULTS
  At six weeks of follow-up, the choroiditis resolved completely with improvement of visual acuity.
  
  
  CONCLUSIONS
  Atypical presentations of serpiginous choroiditis can cause diagnostic dilemma, but prompt diagnosis and immediate treatment can result in good visual recovery.
authors.affiliation: Smt. Kannuri Santhamma Centre for Retina Vitreous Diseases, L. V. Prasad Eye Institute, L. V. Prasad Marg , Hyderabad , India.
authors.forename: Divya
authors.initials: D
authors.lastname: Balakrishnan
authors.forename: Annie
authors.initials: A
authors.lastname: Mathai
authors.forename: Priyanka
authors.initials: P
authors.lastname: Gogte
authors.forename: Nandkishore
authors.initials: N
authors.lastname: Tibra
authors.forename: Jay
authors.initials: J
authors.lastname: Chhablani
mesh_terms: D000284:Administration, Oral; D001379:Azathioprine / Q000627:therapeutic use; D002833:Choroiditis / Q000175:diagnosis* / Q000188:drug therapy; D004338:Drug Combinations; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007262:Infusions, Intravenous; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use*; D008875:Middle Aged; D010211:Papilledema / Q000175:diagnosis* / Q000188:drug therapy; D012163:Retinal Detachment / Q000175:diagnosis* / Q000188:drug therapy; D014786:Vision Disorders / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D004338:Drug Combinations; D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D001379:Azathioprine; D008775:Methylprednisolone
keywords: Disc edema; exudative retinal detachment; methyl prednisolone; serpiginous choroiditis