[Viral vasculitis and disseminated white spots].
A case of retinal vasculitis is reported, unusual because of its occurrence in a young healthy man, and especially because of the presence of a turn-over of white spots in the mid-peripheral retina, which faded and turned into areas of pigment epithelium changes. The patient presented with anterior uveitis with raised intraocular pressure, and then with vitritis, retinitis in the peripapillary area with involvement of the optic disc, vasculitis with perivascular sheathing and vascular occlusion. Clinical and laboratory investigations remained negative. The lesions regressed with antiviral treatment (Ganciclovir) and steroids. Final visual acuity was 20/400 due to optic disc atrophy and the development of an epimacular membrane. The authors discuss the differential diagnosis of retinal vasculitis related to immunological diseases or viral infection. In conclusion, this case may constitute a mild type of acute retinal necrosis syndrome.
Glacet-Bernard
A
A
Clinique Ophtalmologique Universitaire, Université Paris-XII, Créteil.
Laliam-Gheraieb
L
L
Coscas
G
G
D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000382:microbiology / Q000473:pathology; D015882:Retinal Necrosis Syndrome, Acute / Q000175:diagnosis* / Q000473:pathology; D012170:Retinal Vein Occlusion / Q000209:etiology; D012171:Retinal Vessels; D013997:Time Factors; D014777:Virus Diseases / Q000175:diagnosis
Vascularite virale et taches blanches disséminées.