Author(s): Shrinkhal1, Virendra Pratap Singh2
We present here a case of pseudodoubling of the optic disk- a spectacular and rare clinical presentation. Of additional interest is that this case also includes another rare presentation, which is serpiginous choroiditis associated with choroidal neovascularisation. Patient was given a course of oral prednisolone and planned for intravitreal anti-VEGF. Poor visual prognosis has been explained.
A 46 years old man came to us with gradually decreasing vision in both eyes for last 8 months. On examination, his unaided visual acuity for distance was 3/60 in right eye and 3/60 in left eye. On pin hole, it reduced to 1/60 in both eyes. Pupil was normal size, but sluggishly reacting in both the eyes. Fundus examination revealed clear media and bilateral grey or creamy yellow placoid lesions in peripapillary region and extending centrifugally with finger like or serpentine projections. The lesions also show retinochoroidal degeneration and pigmentation involving the macula (Figure 1, 2). Left eye had signs of inciting active lesion inferior to the disc.