Amjad Akram, Imran Akram, M Akram, Safdar Z Rizvi, Mazhar Ishaq, Usman Mahmood.
Juxtapapillary choroidtis and Mimicking Lesions.
Pak J Ophthalmol Jan ;18(2):4-7.

A 32 year old female was diagnosed as having papilloedema by a physician and was referred to us for confirmation of diagnosis. The patient had a history of occasional headaches for the past few months. These were relieved by simple analgesics and there was no history of vomiting. She was also complaining of slight blurring of vision in the left eye for the past few weeks. On examination, vision right eye was 6/6 and vision left eye was 6/12 with no further improvement. Anterior segment examination of left eye revealed multiple cells in the anterior chamber and a few keratic precipitates on the posterior surface of cornea. The intraocular pressure was within normal limits. The left vitreous was slightly hazy. Posterior pole of the left fundus showed peripapillary yellowish white lesion with relatively clear margins, completely encircling the optic disc. The retinal vessels passing over it were completely undisturbed. FFA showed the lesion to be initially hypofluorescent which later became hyperfluorescent. Examination of the right eye was unremarkable. A diagnosis of left sided juxtapapillary choroiditis was made. Elisa test for toxoplasmosis was negative, X-ray chest, ESR, Mantoux test, full blood count were also within normal limits.

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