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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/12/31 05:50:45」(JST)

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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. If only the choroid is inflamed and 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.

Symptoms[edit]

Symptoms may include the presence of floating black spots, blurred vision, pain or redness in the eye, sensitivity to light, or excessive tearing.^[2]

Causes[edit]

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 often caused by toxoplasmosis and cytomegalovirus infections (mostly seen in immunodeficient subjects such as people with AIDS or on immunosuppressant drugs).^[3] Congenital toxoplasmosis via transplacental transmission can also lead to sequelae such as chorioretinitis along with hydrocephalus and cerebral calcifications. Other possible causes of chorioretinitis are syphilis, sarcoidosis, tuberculosis, and onchocerciasis.

Treatment[edit]

It is treated with a combination of corticosteroids and antibiotics. If there is an underlying cause such as AIDS, specific therapy can be started as well.

References[edit]

^ "Choroiditis (definition)". WebMD. Retrieved July 11, 2012.
^ Berman, Eric L. "Choroiretinitis.". NYU Langone Medical Center. Retrieved July 11, 2012.
^ Kasper et al., ed. (2005). Harrison's Principles of Internal Medicine (16th ed.). New York: McGraw-Hill. pp. 959, 1038. ISBN 0-07-140235-7.
^ Neil J. Friedman, Peter K. Kaiser, Roberto Pineda (2009). The Massachusetts Eye and Ear Infirmary illustrated manual of ophthalmology (3rd ed.). Saunders/Elsevier. ISBN 978-1437709087.
^ Emmett T. Cunningham, Paul Riordan-Eva. Vaughan & Asbury's general ophthalmology. (18th ed. ed.). McGraw-Hill Medical. ISBN 978-0071634205.

UpToDate Contents

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1. ブドウ膜炎：病因、臨床症状、および診断 uveitis etiology clinical manifestations and diagnosis
2. 網膜色素変性症：臨床症状および診断 retinitis pigmentosa clinical presentation and diagnosis
3. 救急外来における眼部損傷の概要 overview of eye injuries in the emergency department
4. AIDS関連サイトメガロウイルス網膜炎の病因、臨床症状、および診断 pathogenesis clinical manifestations and diagnosis of aids related cytomegalovirus retinitis
5. 先天性トキソプラズマ症：臨床的特徴および診断 congenital toxoplasmosis clinical features and diagnosis

English Journal

Multifocal choroiditis and panuveitis presenting with progressive equatorial linear streaks: evolution of schlaegel lines documented with multimodal imaging.

Somkijrungroj T1, Pearlman JA, Gonzales JA.
Retinal cases & brief reports.Retin Cases Brief Rep.2015 Summer;9(3):214-7. doi: 10.1097/ICB.0000000000000141.
PURPOSE: To describe the progressive, peripheral linear streaks of the equatorial retina, known as Schlaegel lines, in multifocal choroiditis and panuveitis (MCP).METHODS: A case report of a 13-year-old girl with MCP showed progression of retinal linear streaks. Extensive systemic and ophthalmologic
PMID 25790317

Indocyanine green angiographic evidence of choroiditis in scleroderma.

Abdellatief A1, Balasubramaniam SC, Grube TJ, Gonzalez Santiago TM, Osborn TG, Pulido JS.
Retinal cases & brief reports.Retin Cases Brief Rep.2015 Summer;9(3):231-4. doi: 10.1097/ICB.0000000000000146.
PURPOSE: The purpose of this case report was to demonstrate evidence of indocyanine green angiography leakage consistent with choroiditis in a patient with scleroderma.METHODS: In this case report, the patient underwent a variety of tests and examinations, including systemic evaluation, full ocular
PMID 25769052

Spectral-domain optical coherence tomographic features of choroidal neovascular membranes in multifocal choroiditis and punctate inner choroidopathy.

Amer R1, Priel E, Kramer M.
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie.Graefes Arch Clin Exp Ophthalmol.2015 Jun;253(6):949-57. doi: 10.1007/s00417-015-2930-5. Epub 2015 Jan 29.
PURPOSE: To describe the spectral-domain optical coherence tomographic (SD-OCT) features of inflammatory choroidal neovascular membranes (iCNV) in multifocal choroiditis and punctate inner choroidopathy, and to compare them to those of the acute inflammatory lesions in the same underlying diseases.
PMID 25631844

Japanese Journal

レーザースペックルフローグラフィーを用いて眼血流を測定できた地図状脈絡膜炎の1例

眼科臨床紀要 8(5), 296-301, 2015
NAID 40020477165

症例報告網膜血管に沿って網脈絡膜病変を呈した非典型的な匐行性脈絡膜炎の1例

日本眼科学会雑誌 117(7), 561-567, 2013-07
NAID 40019765267

炎症性眼疾患の診療(32)多巣性脈絡膜炎

臨床眼科 64(12), 1830-1834, 2010-11
NAID 40017401435

Related Pictures

★リンクテーブル★

リンク元	「脈絡膜炎」
拡張検索	「focal choroiditis」「cryptococcal retinochoroiditis」

「脈絡膜炎」

Chorioretinitis
	Classification and external resources
	; Photograph taken of the back of the eye (fundoscopy) of an AIDS patient with chorioretinitis.
ICD-10	H30.9
ICD-9	363.20
DiseasesDB	2613
MeSH	D002825

　　[★]

英: choroiditis
関: 脈絡膜。ぶどう膜、後部ぶどう膜炎、網脈絡膜炎

「focal choroiditis」

　　[★] 孤立性脈絡膜炎。限局性脈絡膜炎

「cryptococcal retinochoroiditis」

　　[★] クリプトコッカス網脈絡膜炎

[WebMD_choroiditis-1] "Choroiditis (definition)". WebMD. Retrieved July 11, 2012.

[Berman_Eric-2] Berman, Eric L. "Choroiretinitis.". NYU Langone Medical Center. Retrieved July 11, 2012.

[3] Kasper et al., ed. (2005). Harrison's Principles of Internal Medicine (16th ed.). New York: McGraw-Hill. pp. 959, 1038. ISBN 0-07-140235-7.

[meei-4] Neil J. Friedman, Peter K. Kaiser, Roberto Pineda (2009). The Massachusetts Eye and Ear Infirmary illustrated manual of ophthalmology (3rd ed.). Saunders/Elsevier. ISBN 978-1437709087.

[vaughan-5] Emmett T. Cunningham, Paul Riordan-Eva. Vaughan & Asbury's general ophthalmology. (18th ed. ed.). McGraw-Hill Medical. ISBN 978-0071634205.

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案内

choroiditis