Frosted-branch angiitis with central-retinal-vein occlusion: angiographic and OCT findings

Objective: To report angiographic and optical-coherence-tomography findings in a case of frosted-branch angiitis (FBA) with central-retinal-vein occlusion (CRVO). Methods: This is a case report. Results: A healthy Japanese female presented with monocular blurring of vision. Fluorescein angiograp...

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Bibliographic Details
Main Author: Harvey S. Uy, MD
Format: Article
Language:English
Published: Philippine Academy of Ophthalmology 2007-06-01
Series:Philippine Journal of Ophthalmology
Online Access:https://paojournal.com/index.php/pjo/article/view/485
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Summary:Objective: To report angiographic and optical-coherence-tomography findings in a case of frosted-branch angiitis (FBA) with central-retinal-vein occlusion (CRVO). Methods: This is a case report. Results: A healthy Japanese female presented with monocular blurring of vision. Fluorescein angiography (FA) revealed extensive dye leakage from the retinal blood vessels and optic-nerve head. Indocyanine-green (ICG) angiography demonstrated tortuous retinal veins containing foci of hypo-fluorescence, foci of hyper-fluorescence, and diffuse dye leakage. Late choroidal hypo-fluorescent patches were observed. Optical coherence tomography demonstrated swelling of the optic-nerve head and thickening of the sensory retina and nerve-fiber layer. Aggressive steroid treatment resulted in improved vision and angiographic appearance. Conclusion: CRVO may be an initial presentation of FBA. FA, ICG, and nerve-fiber-layer OCT examinations are useful in monitoring disease resolution. Early and aggressive steroid treatment can help control inflammation and improve visual outcome.
ISSN:0031-7659