Serpiginous choroiditis.

Serpiginous or geographic choroiditis is a descriptive name for insidious disseminated choroiditis characterized by multiple, confluent foci of exudate and scar formation, especially in the superficial portion of the choroid.Fluorescein angiographic and histo- logical studies have revealed disappearance of the choriocapillaris and of the pigment epithelium (Hyvarinen, Maumenee, George, and Weinstein, I969).Schlaegel (1969) and Maumenee (1970) stated that some cases of serpiginous choroiditis are caused by choroidal inflammation, but some are the result of choroidal vascular abiotrophy and therefore degenerative in origin. MaterialThis report deals with nine patients suffering from serpiginous choroiditis.Four had no signs of earlier choroidal inflammation, and in five old choroidal scars were present.Case reports (A) FOUR CASES WITHOUT EARLIER CHOROIDAL CHANGES (Table I) Two female patients (Cases i and 2) had uniocular serpiginous choroiditis, and two male patients (Cases 3 and 4) had both eyes simultaneously involved.