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Reperfusion of Retinal Vasculature With Improved Visual Acuity in Ischemic Occlusive Vasculitis

J. Grier Bomar, BA1; Sara V. Branson, BS1; Jedediah McClintic, MD1; Shree K. Kurup, MD1
[+] Author Affiliations
1Department of Ophthalmology, Wake Forest University Eye Center, Wake Forest University School of Medicine, Winston-Salem, North Carolina
JAMA Ophthalmol. 2016;134(4):466-467. doi:10.1001/jamaophthalmol.2015.6164.
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This case report describes vascular reperfusion and visual rehabilitation with aggressive treatment for occlusive retinal vasculitis.

Occlusive retinal vasculitis is a form of retinopathy in systemic immune disorders. Aggressive therapy may promote vascular reperfusion and visual rehabilitation, even in severe cases.

Article InformationCorresponding Author: Shree K. Kurup, MD, Department of Ophthalmology, Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157 (skkurup@gmail.com).

Published Online: February 18, 2016. doi:10.1001/jamaophthalmol.2015.6164.

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

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Fundus Fluorescein Angiograms Before and After Therapy

A-D, Fundus fluorescein angiograms of the left eye in patient 1 (A and B) and patient 2 (C and D), who both had bilateral symmetric disease, before therapy (A and C) and after therapy (B and D). A, Macular ischemia associated with lupus. B, Improved revascularization in the superior arcade with neovascularization. C, Macular ischemia with occlusion of retinal arterioles and neovascularization of the optic disc in mixed cryoglobulinemia. D, Improved revascularization.

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