Clinical characteristics in four cases of optic disc vasculitis with patchy ischemic retinal whitening Keiichi Aomatsu 1 , Norio Okamoto 1 , Kazuki Kuniyoshi 1 , Yuzo Nakao 1 , Chota Matsumoto 1 , Yoshikazu Shimomura 1 1Department of Ophthalmology, Kindai University Faculty of Medicine pp.899-903
Published Date 2017/6/15
DOI https://doi.org/10.11477/mf.1410212300
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Abstract Purpose:To report clinical characteristics in 4 cases of optic disc vasculitis with patchy ischemic retinal whitening.

Cases:The present series comprised 2 males and 2 females. All the 4 cases were unilaterally affected. The age ranged from 20 to 41 years, average 27.5 years. Visual acuity was evaluated as logMAR.

Findings and Clinical Course:All the 4 affected eyes showed findings of impending central retinal vein occlusion. Retinal whitening was present posterior to the vascular arcade in 3 eyes and temporal to the macula in one eye. Two eyes showed cilioretinal artery occlusion. Branch retinal artery occlusion was present in one of the 2 eyes. Relative afferent pupillary defect(RAPD)was positive in 2 eyes. Central scotoma was present in 3 eyes. Paracentesis was performed in one case, thrombolytic therapy in one, and corticosteroid pulse therapy in 2 cases. All the 4 cases received thrombolytic therapy. Visual acuity averaged 1.03 initially and −0.01 at the final examination.

Conclusion:Findings in the present series seem to suggest that patchy retinal ischemic whitening in young patients of optic disc vasculitis may be signs of favorable prognosis.

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