Lecture 285, Uvea 26, White Dot Syndromes by Dr VPS Tomar on Wednesday, March 8, at 8 PM
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- เผยแพร่เมื่อ 30 พ.ย. 2024
- Uvea Module #26,
White Dot Syndromes
Dr VPS Tomar.
RIO, Sitapur
March 8th, 2023, 8:00 PM - 9:00 PM
Chair: Prof Amod Gupta
Coordinator: Dr Parthopratim Dutta Majumder
Moderator: Dr Abhilasha Baharani
Expert Panel (December 2022, in alphabetical order): Dr Aniruddha Agarwal. Dr S Balamurugan, Dr Jyotirmay Biswas, Dr Kalpana Babu, Dr Mamta Agarwal, Dr Mohit Dogra, Dr Mudit Tyagi, Dr Padmamalini Mahendradas, Dr Rathinam SR, Dr Reema Bansal, Dr Soumyava Basu, Dr Vishali Gupta,
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26:28 99.9% of patients are HLA-A29 positive. The suffix '...pathy' is not justified, the correct suffix being '...itis', as it is clearly an inflammatory disorder. Retina should be given preeminence over choroid as the structure mainly damaged and causing major morbidity is the retina. Hence, the correct name should be 'HLA-A29 birdshot retinochoroiditis'. ['Why birdshot retinochoroiditis should rather be called ‘HLA-A29 uveitis’?'; 2017]
The term 'white dot syndromes' was proposed by one opinion leader and accepted at once by the uveitis community without questioning. The authors back then (around 1995) analyzed the histopathology of some 'white dots' from sympathetic ophthalmia, VKH and sarcoidosis cases and concluded that the lesion at the base of all white dot syndromes was the granuloma. THIS IS WRONG! The granuloma is not at the origin of choriocapillaritis!
Therefore, this nonsense terminology should be abandoned and replaced by the explanatory terminology of non-infectious choroiditis and its logical subdivisions according to location and physiopathology.
See also: '"White dot syndromes", an inappropriate and outdated misnomer.' Int Ophthalmol. 2022
[From Carl P. Herbort Jr. at EURETINA 2024]. Newest Kanski (10th. Ed.) implements this.