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Atypical cogan's syndrome with serpiginous choroidopathy-a case report

Mohammadkarim Johari, Ehsan Namvar , Elham Sadeghi, Mohsen Farvardin MD, Reza Farvardin

Purpose: To report the first presentation of atypical Cogan ? s syndrome with Serpiginous choroidopathy. Patient: 38-year-old man presented with 15 days of blurred vision in both eyes. He had a history of bilateral hearing loss and severe tinnitus and nausea from 1 year ago. Result: on examination, visual acuity of counting fingers at 1 meter in the right eye and 6/60 in the left eye were recorded. The anterior chamber had +2 inflammatory cells and anterior vitreous had +1 cells in both eyes. The fundus examination in both eyes showed an area of geographic chorioretinal hypopigmented atrophy and scar at the posterior pole. Conclusion: This is the first presentation of atypical Cogan?s syndrome with Serpiginous choroidopathy without any other ocular manifestations.