Retinal cases & brief reports · 2008
Post-cataract surgery cystoid macular edema from choriocapillaris submacular leakage in a patient with crohn disease: a case report.
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Rosina Chiara, Bonavia Luigi, Staurenghi Giovanni
Аннотация
PURPOSE: To describe an unusual case of cystoid macular edema after cataract surgery in a patient with Crohn disease.
METHODS: A confocal scanning laser ophthalmoscopic study was performed on one eye before and after systemic corticosteroid treatment. Both fluorescein and indocyanine green angiograms were used to visualize vascular leakage.
RESULTS: Both fluorescein and indocyanine green angiograms indicated early-phase leakage in the macular region. The early-phase indocyanine green leakage was from choroidal vasculature and suggested choriocapillaris vasculitis. In the later phases, the fluorescein angiogram showed the typical petaloid pattern of cystoid macular edema. After 1 month of treatment, the abnormal indocyanine green leakage disappeared with a concomitant increase in visual acuity.
CONCLUSIONS: We report possible choriocapillaritis associated with Crohn disease based on dynamic angiography that revealed indocyanine green leakage in combination with early-phase fluorescein leakage. To our knowledge, this is the first description of choriocapillaris vasculitis associated with Crohn disease.
METHODS: A confocal scanning laser ophthalmoscopic study was performed on one eye before and after systemic corticosteroid treatment. Both fluorescein and indocyanine green angiograms were used to visualize vascular leakage.
RESULTS: Both fluorescein and indocyanine green angiograms indicated early-phase leakage in the macular region. The early-phase indocyanine green leakage was from choroidal vasculature and suggested choriocapillaris vasculitis. In the later phases, the fluorescein angiogram showed the typical petaloid pattern of cystoid macular edema. After 1 month of treatment, the abnormal indocyanine green leakage disappeared with a concomitant increase in visual acuity.
CONCLUSIONS: We report possible choriocapillaritis associated with Crohn disease based on dynamic angiography that revealed indocyanine green leakage in combination with early-phase fluorescein leakage. To our knowledge, this is the first description of choriocapillaris vasculitis associated with Crohn disease.