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Recurrent unilateral frosted branch angiitis
1Department of Ophthalmology, Chonnam National University Medical School and Hospital, Chonnam University Research Institute of Medical Science, Kwangju, Korea.
Japanese Journal of Ophthalmology
|March 21, 1998
Summary
Frosted branch angiitis, a rare retinal vascular condition, involves vein sheathing and hemorrhages. Systemic corticosteroids may influence its course but recurrence and neovascular glaucoma are potential complications.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
Background:
- Frosted branch angiitis (FBA) is an uncommon inflammatory condition affecting retinal vessels.
- Characterized by perivascular exudates and retinal hemorrhages, FBA can lead to significant vision loss.
Observation:
- A case study of a 27-year-old male with FBA in the left eye is presented.
- Initial findings included perivascular creamy sheathing, retinal hemorrhages, and delayed venous filling on fluorescein angiography.
Findings:
- Intravenous corticosteroid therapy led to dramatic visual recovery and lesion healing.
- Recurrences occurred, revealing delayed arterial and venous filling, arteriovenous anastomoses, and capillary nonperfusion.
- The patient eventually developed neovascular glaucoma.
Implications:
- The findings suggest a link between frosted branch angiitis and vascular occlusion.
- Systemic corticosteroid therapy appears to modulate the disease's progression.
- This case highlights the complex and potentially severe course of FBA, necessitating careful monitoring and management.