Ocul Immunol Inflamm. 2011 Dec;19(6):439-41. doi: 10.3109/09273948.2011.618901.
The authors describe a case of unilateral idiopathic acute frosted branch angiitis with premacular hemorrhage.
A 35-year-old woman was referred because of acute vision loss in her left eye during the puerperal period. Her initial visual acuity was 20/20 OD and 20/200 OS. The left eye presented severe sheathing of retinal vessels inferiorly, heavy perivascular intraretinal hemorrhages, and premacular hemorrhage. There was no evidence of vascular leakage in fluorescein angiography. All of the laboratory workup was negative for frosted branch angiitis (FBA). During the follow-up period, FBA resolved spontaneously within a few days, but the amount of premacular hemorrhage increased. Vitrectomy with internal limiting membrane peeling was performed at the third month, resulting in 20/25 vision and no recurrence of the disease during the 13-month follow-up.
This is an idiopathic case of acute FBA that exhibited spontaneous rapid regression of angiitis but was complicated by an unusual premacular hemorrhage.
作者描述了一例单侧特发性急性霜枝血管炎伴黄斑前出血。
一名 35 岁女性因产后左眼急性视力丧失而就诊。她的初始视力右眼为 20/20，左眼为 20/200。左眼视网膜下血管鞘状严重，血管周围视网膜内大量出血，黄斑前出血。荧光素血管造影无血管渗漏证据。所有实验室检查均排除霜枝血管炎（FBA）。在随访期间，FBA 在几天内自发消退，但黄斑前出血增多。在第三个月进行玻璃体切除术联合内界膜剥除术，术后视力达到 20/25，13 个月随访期间无疾病复发。
这是一例特发性急性 FBA 病例，表现为血管炎的自发快速消退，但伴有不常见的黄斑前出血。
