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Sustained Control of Serpiginous Choroiditis with the Fluocinolone Acetonide 0.18 mg Intravitreal Implant

Authors :
Yousuf Siddiqui
Olufemi E. Adams
Michael A. Simmons
Justin Yamanuha
Dara D. Koozekanani
Source :
Case Reports in Ophthalmological Medicine, Vol 2022 (2022)
Publication Year :
2022
Publisher :
Hindawi Limited, 2022.

Abstract

Purpose. To describe an alternative treatment for a patient with serpiginous choroiditis (SC) who was not tolerant to systemic therapies. Methods. Case report of a patient with serpiginous choroiditis with their clinical course followed with ophthalmic examinations and multimodal imaging overtime. Patients and Results. A 57-year-old female with serpiginous choroiditis was treated for seven years with numerous therapies including systemic steroids, immunosuppressive agents, and repeated dexamethasone intravitreal implants. The patient was intolerant of systemic therapies and would flare if dexamethasone injections were performed less frequently than every 8 weeks, making a viable long-term treatment plan problematic. Following one injection of the fluocinolone acetonide 0.18 mg intravitreal implant, she has experienced sustained control for 20 months. Discussion and Conclusions. Real-world treatment of SC is complex as long-term control is necessary, and associated side effects of the therapies provided may limit sustained use. The fluocinolone acetonide implant lasts 36 months and may be an alternative long-term management option, especially in the setting of systemic medication intolerance for some patients with SC.

Subjects

Subjects :
Ophthalmology
RE1-994

Details

Language :
English
ISSN :
20906730
Volume :
2022
Database :
Directory of Open Access Journals
Journal :
Case Reports in Ophthalmological Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.f946136f3ea4726b2e4df167d9c82cf
Document Type :
article
Full Text :
https://doi.org/10.1155/2022/3962221