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Retinal fibrovascular proliferation associated with Nocardia subretinal abscess
N Rafiei1, H Tabandeh, M T Bhatti
1The Wilmer Eye Institute, Johna Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287, USA.
Purpose:
To report the development of extensive fibrovascular proliferation in association with Nocardia subretinal abscess.
Method:
Case report.
Results:
Extensive retinal neovascularization with tractional retinal detachment developed soon after ocular involvement in a 61-year-old patient with systemic nocardiosis. Fundus fluorescein angiography showed extensive area of capillary nonperfusion and severe leakage from the neovascular complex. The Nocardia subretinal abscess responded to systemic antibiotics, and the retinal neovascularization and tractional retinal detachment stabilized after 3 months.
Conclusions:
Retinal ischemia and severe retinal neovascularization may complicate intraocular nocardiosis. The authors propose secondary retinal vasculitis as a contributing factor towards the development of retinal ischemia in this setting.
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