{"id":5138,"date":"2025-05-05T15:16:52","date_gmt":"2025-05-05T18:16:52","guid":{"rendered":"https:\/\/sbrv.org\/paciente\/?post_type=doenca&#038;p=5138"},"modified":"2025-05-05T15:35:57","modified_gmt":"2025-05-05T18:35:57","slug":"coroidite-serpiginosa","status":"publish","type":"doenca","link":"https:\/\/sbrv.org\/paciente\/doencas-retina\/coroidite-serpiginosa\/","title":{"rendered":"Coroidite Serpiginosa: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"},"content":{"rendered":"\n<p>\nA coroidite serpiginosa \u00e9 uma inflama\u00e7\u00e3o cr\u00f4nica da coroide com progress\u00e3o em bordas onduladas (\u201cserpiginosas\u201d), que pode afetar a retina adjacente. Ocorre geralmente em adultos entre 30 e 60 anos, causando les\u00f5es hipopigmentadas que evoluem para cicatrizes hiperpigmentadas com piora da vis\u00e3o central e perif\u00e9rica.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O QUE \u00c9<\/h2>\n\n\n\n<p>\nDoen\u00e7a inflamat\u00f3ria autoimune ou p\u00f3s-infecciosa caracterizada por \u00e1reas de inflama\u00e7\u00e3o que se espalham pela coroide em padr\u00f5es semelhantes a \u201cS\u201d ou \u201cU\u201d, geralmente iniciando pr\u00f3ximo \u00e0 papila e avan\u00e7ando em dire\u00e7\u00e3o \u00e0 m\u00e1cula.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CAUSAS E FATORES DE RISCO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Origem autoimune presumida.<\/li>\n\n\n\n<li>Associa\u00e7\u00f5es com tuberculose latente e sarcoidose em alguns casos.<\/li>\n\n\n\n<li>Mais comum entre 30 e 60 anos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SINTOMAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Manchas ou escotomas com formato irregular (\u201craquete\u201d) no campo visual.<\/li>\n\n\n\n<li>Vis\u00e3o emba\u00e7ada ou distorcida, especialmente quando a m\u00e1cula \u00e9 atingida.<\/li>\n\n\n\n<li>Fotofobia pode ocorrer em alguns casos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">DIAGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fundoscopia:<\/strong> les\u00f5es amareladas com bordas serpiginosas, geralmente iniciando ao redor da papila.<\/li>\n\n\n\n<li><strong>ICGA (angiografia com indocianina verde):<\/strong> destaca \u00e1reas de inflama\u00e7\u00e3o na coroide.<\/li>\n\n\n\n<li><strong>OCT:<\/strong> pode revelar descolamento exsudativo da retina nas fases ativas.<\/li>\n\n\n\n<li><strong>Angiofluoresceinografia:<\/strong> mostra hipofluoresc\u00eancia precoce e hiperfluoresc\u00eancia tardia nas les\u00f5es ativas.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">TRATAMENTO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uso de corticoesteroides sist\u00eamicos (pulsoterapia e via oral).<\/li>\n\n\n\n<li>Imunomoduladores e imunobiol\u00f3gicos s\u00e3o indicados em casos persistentes ou recidivantes.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PROGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Controle da progress\u00e3o em cerca de 70% dos casos com tratamento adequado.<\/li>\n\n\n\n<li>Cicatrizes pigmentadas permanentes nas \u00e1reas afetadas da coroide.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PREVEN\u00c7\u00c3O E CUIDADOS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acompanhamento mensal durante a fase ativa da doen\u00e7a.<\/li>\n\n\n\n<li>Ap\u00f3s estabiliza\u00e7\u00e3o, controle cl\u00ednico e por exames de imagem com intervalos regulares.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PERGUNTAS FREQUENTES<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>A doen\u00e7a pode voltar?<\/strong><br>  \u2013 Sim. Recidivas s\u00e3o comuns sem tratamento imunossupressor cont\u00ednuo.<\/li>\n\n\n\n<li><strong>A coroidite serpiginosa causa dor?<\/strong><br>  \u2013 Geralmente n\u00e3o; os sintomas principais s\u00e3o visuais.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">REFER\u00caNCIAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mrejen S, et al. <em>Prog Retin Eye Res<\/em>. 2015;45:100\u2013128.<\/li>\n\n\n\n<li>Guex-Castellie E, et al. <em>Ophthalmology<\/em>. 2010;117(3):490\u2013496.<\/li>\n<\/ul>\n","protected":false},"template":"","class_list":["post-5138","doenca","type-doenca","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Coroidite Serpiginosa: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente<\/title>\n<meta name=\"description\" content=\"Coroidite serpiginosa: saiba como identificar e tratar esta inflama\u00e7\u00e3o da coroide. 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