Bilateral retinal ischemic vasculopathy in a pregnant patient

Retinal Cases & Brief Reports
Maria PapadakiFrancois Willermain

Abstract

To present the case of a young Turkish pregnant patient with bilateral, sight-threatening retinal ischemic vasculopathy and systemic signs suggestive of Behçet disease (oral ulceration, arthritis, and pseudofolliculitis). Case report. Multiple areas of superficial, retinal white lesions and few hemorrhages related to occlusions of small retinal vessels were observed at presentation in the macular zone of both eyes. There was gradual improvement of retinal lesions after the administration of corticosteroids and immunosuppressive treatment. We report the case of a young pregnant patient with bilateral, sight-threatening retinal ischemic vasculopathy and systemic signs of Behçet disease. Although the systemic signs were highly suggestive of Behçet disease, the ocular presentation was unusual for this multisystemic inflammatory disorder. The differential diagnosis included a number of causes of ischemic retinal vasculopathy, such as systemic vasculitis, antiphospholipid syndrome, Susac syndrome, Purtscher-like retinopathy, and a new variant of acute macular neuroretinopathy (paracentral, acute middle maculopathy), which are further discussed.

References

Jul 3, 2004·Survey of Ophthalmology·Victor L PerezC Stephen Foster
Sep 15, 2004·American Journal of Ophthalmology·Ilknur Tugal-TutkunMeri Urgancioglu
Dec 3, 2005·Ocular Immunology and Inflammation·Ahmed M Abu El-AsrarKhalid F Tabbara
Feb 28, 2006·Survey of Ophthalmology·Ashish Agrawal, Martin Andrew McKibbin
Nov 30, 2007·Retina·Nadege MartinetPhuc Lehoang
Aug 19, 2008·American Journal of Ophthalmology·R Oktay KaçmazUNKNOWN Systemic Immunosuppressive Therapy for Eye Diseases Cohort Study Group
Oct 4, 2012·Ocular Immunology and Inflammation·Moncef KhairallahJohn H Kempen
Nov 24, 2012·Eye·A I M MiguelD A L Maberley

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Citations

Oct 1, 2015·Retinal Cases & Brief Reports·Andrew Carey, Steven Cohen
Nov 28, 2017·Retinal Cases & Brief Reports·Zhenyang ZhaoKasra A Rezaei
Oct 11, 2017·Retinal Cases & Brief Reports·Ali S HaiderPeter Davies

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