목적 : 공막염 동반없이 맥락망막염이 발생한 재발성 다발 연골염에 대한 증례를 보고하고자 한다. 증례요약 : 재발성 다발 연골염으로 내과적 치료를 받고 있는 35세 남자 환자가 1개월전부터 시작된 양안의 흐려보임을 주소로 내원하였다. 양안 교정시력은 1.0 이었으나 세극등 검사에서 경미한 앞포도막염 소견이 있었고, 안저검사에서 양안의 후극부 주위로 황백색의 병소가 있었다. 동반된 증상으로 양측 이개의 종창 및 변형, 코의 안장변형, 호흡곤란 등을 보였다. 전신적 스테로이드 치료를 시작하였고, 1% prednisolone acetate 점안액을 하루 4회 양안에 점안하였다. 4개월간의 경과관찰 도중 안저검사에서는 병변의 호전이 보였으나 양안의 시력은 지속적인 저하가 발생하였다. 9개월째 양안 병변은 소실되었고 시력의 호전이 있었다.

Purpose: To report a case of relapsing polychondritis complicated with chorioretinitis without scleritis. Case summary: A 35-year-old man who has been previously managed for relapsing polychondritis visited our the clinic because of blurred vision in his both eyes which had developed one month earlier. Although the corrected visual acuity was 1.0 in both eyes, Slit lamp examination of both eyes showed findings of anterior uveitis. Fundus examination showed a whitish-yellow lesion around the posterior pole in both eyes. He had bilateral auricular chondritis, saddle nose deformity, and respiratory difficult. The patient was treated with systemic steroid and prescribed topical 1% prednisolone acetate four times daily in both eyes. Four months later, fundus examination of both eyes showed improvement of chorioretinal lesion, but visual acuity had decreased constantly. Nine months later, chorioretinal lesion resolved and visual acuity improved in both eyes.

Purpose: To report a case of relapsing polychondritis complicated with chorioretinitis without scleritis. Case summary: A 35-year-old man who has been previously managed for relapsing polychondritis visited our the clinic because of blurred vision in his both eyes which had developed one month earlier. Although the corrected visual acuity was 1.0 in both eyes, Slit lamp examination of both eyes showed findings of anterior uveitis. Fundus examination showed a whitish-yellow lesion around the posterior pole in both eyes. He had bilateral auricular chondritis, saddle nose deformity, and respiratory difficult. The patient was treated with systemic steroid and prescribed topical 1% prednisolone acetate four times daily in both eyes. Four months later, fundus examination of both eyes showed improvement of chorioretinal lesion, but visual acuity had decreased constantly. Nine months later, chorioretinal lesion resolved and visual acuity improved in both eyes.

Chorioretinitis, Relapsing polychondritis