SOLITARY IDIOPATHIC CHOROIDITIS. POSSIBLE RELATIONSHIP WITH MICROBIOTA (CLINICAL CASE)

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The clinical case of a patient with solitary idiopathic choroiditis is presented in the article. The patient received systemic treatment with antibiotics and corticosteroids.

This study included a case report with ophthalmologic examination, optical coherence tomography, treatment options and review of the relevant literature.

The patient underwent repeated tests: Venereal Disease Research Laboratory test for syphilis and chest X-ray. Other tests included investigations for Toxoplasma gondii, Toxocara canis, Bartonella henselae and rheumatoid factor.

We report the case of a 28-year-old woman who presented with loss of visual acuity and distortion in the right eye (OD) for 2 weeks; she was diagnosed with Solitary Idiopathic choroiditis. Before her vision deteriorated, the patient sufered from severe back pain and menstrual irregularities. She was treated with sequential use of Ceftriaxone and Dexamethasone for a week. After treatment, a signifcant improvement in visual acuity was observed. The observation lasted 1.5 year.

In the case we presented, it was preceded by back pain. Systemic treatment with antibiotics and corticosteroids led to the stable remission of the disease. An important point is the brief systemic use of antibiotics with the continuation of the administration of dexamethasone. The positive efect of the systemic use of antibiotics with corticosteroids is possibly associated with the continuing latent disturbances of the genitourinary microbiota a literature review of similar cases is provided.