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Fundus changes in Behcet's disease

L N Dominguez1, A R Irvine

  • 1Department of Ophthalmology, University of California, San Francisco, School of Medicine, USA.

Transactions of the American Ophthalmological Society
|January 1, 1997
PubMed
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Small white patches of retinitis are the most common fundus finding in Behcet's Disease. Recognizing these characteristic retinal lesions aids in diagnosing Behcet's Disease and its reactivation.

Area of Science:

  • Ophthalmology
  • Rheumatology
  • Internal Medicine

Background:

  • Behcet's Disease is a multisystem inflammatory disorder.
  • Ocular manifestations are common and can lead to vision loss.

Observation:

  • A retrospective review of 6 patients diagnosed with Behcet's Disease was conducted.
  • Clinical charts and fundus photographic files were analyzed.

Findings:

  • The most frequent fundus finding was transient, white patches of retinitis, often with adjacent hemorrhages.
  • Retinal vasculitis and optic neuritis were also observed but less frequently.
  • These retinal findings were distinct from cotton wool spots.

Implications:

  • Small patches of retinal whitening are a characteristic sign of Behcet's Disease.

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  • Identification of these lesions can assist in diagnosing the disease and its active phases.