Multifocal Choroiditis and Panuveitis - Color Fundus

The above picture is of the right eye, of an 11 year old female, presenting for evaluation of choroiditis, with unknown origin. Note the peripheral scarring in all quadrants of the retina, along with a scar protruding off of the optic disc and one small scar just inferior to the macula (black arrow). Numerous serology’s were collected, including CBC, ACE, ANA, toxo, and toxo-cara; all returned normal. This picture is classic with Multifocal Choroiditis and Panuveitis, an autoimmune illness. Patient was sent to a uveitis specialist and will see a pediatric rheumatologist. Multifocal Choroiditis and Panuveitis is normally a bilateral disease, but in this case, it is presenting unilaterally. Studies have found that 25% of the time, involvement in the second eye will be found. (Fung et al Retina 34:98-107, 2014)