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Deze abstract is toegekend aan sessie AOB Poster session 1 - Glaucoma – Posterior segment/Retinal disease
TitelAcute frosted retinal periphlebitis in a patient with Mediterranean fever
Abstract Nr.1026
DoelTo present a case of frosted branch periphlebitis in a patient with familial Mediterranean fever (FMF).
MethodesCase report.
ResultatenA 37-year-old male presented with a decreased visual acuity (VA) and floaters for 4 days on the LE. VA was 20/20 RE and 20/28 LE. Anterior segment and fundus examinations of the RE were normal. Slit lamp examination of LE revealed a mild non-granulomatous anterior uveitis and vitritis. Intraocular pressure was 19 mmHg RE and 12 mmHg LE. Fundoscopy of the LE showed typical appearance of frosted branch periphlebitis with perivascular sheathing of the retinal veins and scattered retinal haemorrhages. Fluorescein angiography of the LE showed optic disc and segmented vascular staining without macular leakage. Ocular coherence tomography of the LE demonstrated a macular thickening and few intraretinal cysts. The ophthalmological history was negative. The general history and work up were significant for FMF and a positive lupus anticoagulant.
One week later, the fundus findings worsened with a severe decrease of VA of the LE to 20/200. A single intravitreal injection of bevacizumab (BV) was performed. Three weeks after injection, fundus findings progressively improved with a decrease of the macular thickening and an improvement of the VA to 20/25. Clinical improvement continued up to the last visit (19 weeks after the injection) with a VA that reached back 20/20 with no signs of active inflammation.
ConclusieThis case demonstrates a possible association between unilateral frosted branch periphlebitis and FMF.
BelangenverstrengelingNee
Auteur 1
NaamKÖSE
InitialenÖ
InstituutCHU St-Pierre, CHU Brugmann
StadBrussels
Auteur 2
NaamWILLERMAIN
InitialenF
InstituutCHU St-Pierre, CHU Brugmann
StadBrussels
Auteur 3
NaamEL OUARDIGHI
InitialenH
InstituutCHU St-Pierre
StadBrussels
Auteur 4
NaamGUILLAUME
InitialenMP
InstituutCHU St-Pierre
StadBrussels
Auteur 5
NaamCASPERS
InitialenL
InstituutCHU St-Pierre
StadBrussels
Auteur 6
NaamPOSTELMANS
InitialenL
InstituutCHU Brugmann
StadBrussels
Auteur 7
NaamMAKHOUL
InitialenD
InstituutCHU St-Pierre, CHU Brugmann
StadBrussels
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