Kumawat Babulal, Tripathy Koushik, Venkatesh Pradeep, Chawla Rohan, Sharma Yog Raj
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
J Ophthalmic Vis Res. 2017 Oct-Dec;12(4):440-442. doi: 10.4103/jovr.jovr_84_15.
To report a young man with a central retinal vein occlusion (CRVO)-like appearance which later evolved to frosted branch angiitis (FBA).
As 28-year-old Indian man presented with optic disc swelling, hyperemia, peripapillary hemorrhages, and dilated tortuous veins in the left eye, 6 months after being diagnosed with idiopathic FBA in the right eye. Within 3 days of presentation, the left eye developed FBA, which was promptly and successfully treated with oral steroids.
A CRVO-like picture may be the first stage of FBA. Young patients with CRVO and intraocular inflammation should be followed closely for early detection of FBA. Early initiation of oral steroids may preserve visual acuity in such cases.
报告一名年轻男性，其最初表现为视网膜中央静脉阻塞（CRVO）样外观，随后发展为霜样树枝状视网膜血管炎（FBA）。
一名28岁的印度男性，右眼被诊断为特发性FBA 6个月后，左眼出现视盘肿胀、充血、视乳头周围出血以及扩张迂曲的静脉。就诊后3天内，左眼发展为FBA，通过口服类固醇药物迅速且成功地进行了治疗。
CRVO样表现可能是FBA的第一阶段。患有CRVO和眼内炎症的年轻患者应密切随访，以便早期发现FBA。在此类病例中，早期开始口服类固醇药物可能有助于保留视力。
