Korean J Ophthalmol.  2019 Oct;33(5):485-486. 10.3341/kjo.2019.0033.

Frosted Branch Angiitis Secondary to Granulomatosis with Polyangiitis

Affiliations
  • 1Department of Ophthalmology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
  • 2Department of Ophthalmology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea. umuse7@gmail.com

Abstract

No abstract available.


MeSH Terms

Granulomatosis with Polyangiitis*
Vasculitis*

Figure

  • Fig. 1 Images of the patient (A-G) before treatment and (H-J) after treatment. (A,B) Hematoxylin and eosin staining revealed granulomatous inflammation with giant cells (×100, circle) and fibrinoid necrosis (×40, arrow) in the renal biopsy, consistent with granulomatosis with polyangiitis. (C,D) Fundus photographs showed multiple, patched, whitish lesions with retinal hemorrhage in the right eye and extensive perivascular sheathing with retinal hemorrhage in the left eye. (E,F) Fluorescein angiography revealed perivascular leakage with capillary non-perfusion. (G) Spectral-domain optical coherence tomography demonstrated macular edema in the left eye. (H) After two times of intravitreal dexamethasone implants, the macular edema improved and did not recur. (I,J) Retinal vasculitis, retinal hemorrhage, and exudation also decreased in both eyes.


Reference

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