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1.
Ophthalmic Surg Lasers Imaging Retina ; 55(4): 235-239, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38319054

RESUMO

A 13-year-old Black male patient with a history of Kikuchi-Fujimoto disease (KFD) and sickle cell trait presented with acute painless vision loss and no light perception vision (NLP) in his left eye. The examination was indicative of occlusive retinal vasculitis with near total central retinal artery occlusion (CRAO). He was started on oral steroids with dramatic reperfusion and improvement of the retinal hemorrhages. However, his vision remained at NLP. Oral steroids were tapered, and rituximab infusion was initiated. While ocular involvement is uncommon in KFD, vision-limiting complications, such as occlusive retinal vasculitis, ophthalmic artery occlusion, and CRAO can occur. Early systemic immunosuppression is key in achieving rapid remission. [Ophthalmic Surg Lasers Imaging Retina 2024;55:235-239.].


Assuntos
Angiofluoresceinografia , Linfadenite Histiocítica Necrosante , Vasculite Retiniana , Traço Falciforme , Humanos , Masculino , Linfadenite Histiocítica Necrosante/diagnóstico , Linfadenite Histiocítica Necrosante/complicações , Linfadenite Histiocítica Necrosante/tratamento farmacológico , Traço Falciforme/complicações , Traço Falciforme/diagnóstico , Vasculite Retiniana/diagnóstico , Vasculite Retiniana/etiologia , Adolescente , Angiofluoresceinografia/métodos , Acuidade Visual , Oclusão da Artéria Retiniana/diagnóstico , Oclusão da Artéria Retiniana/etiologia , Fundo de Olho , Glucocorticoides/uso terapêutico , Glucocorticoides/administração & dosagem
2.
Retin Cases Brief Rep ; 16(5): 643-648, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32925817

RESUMO

PURPOSE: To report a series of cases with smokestack leakage on fundus fluorescein angiography outside the clinical setting of central serous chorioretinopathy. METHODS: A multicenter, observational retrospective case series evaluating fundus fluorescein angiography on Topcon and Optos systems. RESULTS: Seven patients with neovascularization due to ischemic retinopathy demonstrated a unique smokestack pattern of angiographic leakage. The patients' ages ranged between 44 and 71 years and were seen at 3 academic teaching hospitals in the Washington-Baltimore metropolitan area. Five patients had been diagnosed with proliferative diabetic retinopathy, one with sickle cell ischemic retinopathy, and one with branch retinal artery occlusion; none of the patients had a known history or clinical signs of current or past central serous chorioretinopathy. CONCLUSION: This is the first published case series to the author's knowledge of ischemic retinopathy displaying a smokestack leakage pattern on fundus fluorescein angiography that is classically described with idiopathic central serous chorioretinopathy.


Assuntos
Coriorretinopatia Serosa Central , Adulto , Idoso , Coriorretinopatia Serosa Central/complicações , Coriorretinopatia Serosa Central/diagnóstico , Angiofluoresceinografia , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Tomografia de Coerência Óptica
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