Ophthalmoscopic findings during vitrectomy. The video shows the whitish cloudy cords and the white retinal spots found during vitrectomy. In a case of placoid chorioretinitis due to Treponema pallidum.
Chorioretinitis is an inflammation of the choroid (thin pigmented vascular coat of the eye) and retina of the eye. It is a form of posterior uveitis. Inflammation of these layers can lead to vision-threatening complications. If only the choroid is inflamed, not the retina, the condition is termed choroiditis.[1] The ophthalmologist's goal in treating these potentially blinding conditions is to eliminate the inflammation and minimize the potential risk of therapy to the patient.
In general, the diagnosis of chorioretinitis is based on direct examination of active chorioretinal inflammation and/or by detection of leukocytes in the vitreous humor on ophthalmic examination.[7]
Chorioretinitis is usually treated with a combination of corticosteroids and antibiotics. However, if there is an underlying cause such as HIV, specific therapy can be started as well.
A 2012 Cochrane Review found weak evidence suggesting that ivermectin could result in reduced chorioretinal lesions in patients with onchocercal eye disease.[8] More research is needed to support this finding.
Neil J. Friedman; Peter K. Kaiser; Roberto Pineda (2009). The Massachusetts Eye and Ear Infirmary illustrated manual of ophthalmology (3rd ed.). Saunders/Elsevier. ISBN978-1437709087.
Emmett T. Cunningham; Paul Riordan-Eva (2011). Vaughan & Asbury's general ophthalmology (18th ed.). McGraw-Hill Medical. ISBN978-0071634205.
