1. CHORIORETINOPATHY AND ANTIPHOSPHOLIPID SYNDROME
María Caridad Martínez Hergueta
Belén Sánchez Cañal
Jose Juan Mondejar García
Hospital General Universitario de Alicante

2. Clinic case 73 year-old male, with blurry vision Medical history:
Hypertension, nephropathy, antiphospholipid syndrome
Cataract surgery both eyes , sulcus IOL right eye
Ocular exam
Visual acuity OD 0.3 / OI 0.6
FO OD: áreas hipopgmentadas yuxtafoveolares
FO OI: edema polo posterior y nódulos cremosos blancoamarillentos

3. OCT OD OS

4. ANA +, antiSm +, antiRNP +, antiRo +
AGF
ANA +, antiSm +, antiRNP +, antiRo +
AGF AO: hiperfluorescencia con puntos de escape
Improvement with mycophenolate therapy

5. Discussion This kind of choroidopathy is very uncommon
It is caused by choroidal vascular alterations with decreased blood flow because of immunecomplexes or antibodies
It is produced neurosensory retinal detachment
Marcador de actividad de la enfermedad.
Treatment consists in the disease control with corticosteroids and immunosuppressive drugs