Q 31- Treatment of Geographic Helicoid Peripapillary Choroidopathy (Serpiginous Choroiditis)
by RAJEEV KUMAR SINGH
(NOIDA, UP, INDIA)
HI, I am suffering from eye disease called, Geographic Helicoid Peripapillary choroidopathy(GHPC) in my right eye. I am getting treatment since May, 21TH in India. I am taking Omnacortil ( Prednisolone),60 Mg/daily decreasing by 10 mg per week)on daily Basis.
Other symptoms in my Right Eye:
1- Blurred Vision 2- Darker objects comapring to Left eye 3- Multifocal and zigzag objects.
Where i can get the best treatment for these Problems and which eye drops should i take in this condition?
A 31- Response from online-eye-info.com/Treatment of Serpiginous Choroiditis
by online-eye-info.com
Thanks for your Question
Serpiginous Choroiditis or Geographic Helicoid Peripapillary Choroidopathy is a chronic bilateral recurrent disease that affects the choroid, Retinal Pigment Epithelial cells and photoreceptors. It usually starts around the optic disc and radiate as a snake to the peripherally of the retina.
So far the only treatments that are used are Prednisolone, either oral, periocular injection of intraocular injections. Immunosuppressive agents such as azathioprine,cyclosporine and interferon have been used in the treatment. These medications are used just to treat the inflammation and they are not for cure.
So far, There is no eye drops that can be used for this disease.
There are two main problems with this disease: 1- Recurrence rate 2- Choroidal Neovascular Membrane formation which can be treated by laser, photodynamic therapy and Intraocular injections of steroid and Anti-VEGF.
I am not sure about the best centers in India to treat this condition and i don't believe there is a big difference in treatment of this disease between India and USA or UK. Many ophthalmologists in India had their training in these two countries.
