Retinal Vasculitis

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File number: 72527


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    • By Olivia Rainey
      Retina Specialists of Michigan
      Co-author(s): Olivia Rainey, OCT-C, COA and Scott Westhouse, DO
    • Uploaded on Jan 29, 2021.
    • Last modified by Caroline Bozell on Jan 29, 2021.
    Rating
    Appears in
    Miscellaneous
    Condition/keywords
    retinal vasculitis, peripheral retinal vasculitis, Optos, fluorescein angiogram (FA), fluorescein leakage, ultra-wide field imaging, non-perfusion, left eye
    Photographer
    Lauren Schuler
    Imaging device
    Fundus camera
    Optos California
    Description
    Ultra-widefield fluorescein angiogram of a 71-year-old female with retinal vascultitis affecting her left eye. The patient had a bilateral TAB performed in 5/2019 and 7/2019 which showed heterozygous for prothrombin mutation, but this would correlate with venous thromboembolism rather than arterial embolism. She has a history of elevated ESR and CRP. She experienced a new onset of vitreous debris on 6-1-2020 combined with findings of severe vascular occlusion/vasculitis with diffuse leakage on angiography suggests underlying inflammatory component rather than prothrombotic occlusion secondary to prothrombin mutation. There is persistent significant vasculitis noted on angiography on 1/25/2021.

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