High-resolution Sd-oct and Edi-oct in the Evaluation and Management of Multifocal serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis Serpigenoed Choroditis - High-resolution Sd-oct and Edi-oct in the Evaluation and Management of Multifocal serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis serpigenoed choroditis Serpigenoed Choroditis - Open Access Pub

Purpose To describe spectral domain optical coherence tomography (SD-OCT) and enhanced depth image OCT (EDI-OCT) findings of multifocal serpiginoid choroditis (MSC) , including affected layer of retinal involvement, changes at the vitreoretinal interface, and response to therapy. Methods A retrospective review of 20 eyes (14 patients) with MSC. Each patient underwent a complete ophthalmologic examination, fundus photography, fundus autoflorecence (FAF) and OCT imaging of the affected retina at the initial visit and on each follow-up. Results In acute stage, SD-OCT showed hyperreflective areas involving the outer retinal layers which include retinal pigment epithelium (RPE), photoreceptor outer segment tips (POST), inner segment–outer segment (IS/OS) junction, external limiting membrane (ELM), and outer nuclear layer (ONL) with choroidal and intraretinal layer cells infiltrate. EDI-OCT showed increase choroidal thickness. As the lesions began to heal, irregular, knobby elevations of outer retinal layers appeared (RPE, POST, IS/OS junction, and ELM could not be distinguished) with significant decrease in choroidal and intraretinal cells. On complete healing, loss of RPE, POST, IS/OS junction, and ELM in SD-OCT scan and absent of the choroidal and intraretinal cells and continous hyperreflactivity of the choroid (increased penetrance). Conclusion SD-OCT and EDI-OCT provides high-resolution detail regarding ultrastructural changes in vitreoretinal interface, outer retina and choroid during the course of the lesion. Serial SD-OCT and EDI-OCT also provides further insight into response to therapy by observing choroidal and intraretinal cells. To describe spectral domain optical coherence tomography (SD-OCT) and enhanced depth image OCT (EDI-OCT) findings of multifocal serpiginoid choroditis (MSC) , including affected layer of retinal involvement, changes at the vitreoretinal interface, and response to therapy. A retrospective review of 20 eyes (14 patients) with MSC. Each patient underwent a complete ophthalmologic examination, fundus photography, fundus autoflorecence (FAF) and OCT imaging of the affected retina at the initial visit and on each follow-up. In acute stage, SD-OCT showed hyperreflective areas involving the outer retinal layers which include retinal pigment epithelium (RPE), photoreceptor outer segment tips (POST), inner segment–outer segment (IS/OS) junction, external limiting membrane (ELM), and outer nuclear layer (ONL) with choroidal and intraretinal layer cells infiltrate. EDI-OCT showed increase choroidal thickness. As the lesions began to