Geographic choroiditis and retinal vasculitis in rheumatoid arthritis.
A 37-year-old man developed geographic choroiditis and retinal vasculitis in the left eye while taking 3.5 mg/day oral prednisolone for rheumatoid arthritis. The choroidal lesions stopped growing when the dose of prednisolone was increased to 60 mg/day, while its tapering resulted in the recurrence and enlargement of the choroidal lesions to the macula. The patient experienced further recurrence twice in the following year. Indocyanine green angiography demonstrated the obstruction of choroidal arteries in addition to the complete obstruction of the choriocapillaris in a fresh lesion. This case was the first to have geographic choroiditis on the background of a systemic inflammatory disease.
Matsuo
T
T
Department of Ophthalmology, Okayama University Medical School, Japan.
Masuda
I
I
Matsuo
N
N
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D002829:Choroid / Q000098:blood supply; D002833:Choroiditis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005451:Fluorescein Angiography; D005456:Fluorescent Dyes; D006801:Humans; D007208:Indocyanine Green; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D012164:Retinal Diseases / Q000188:drug therapy / Q000209:etiology; D012171:Retinal Vessels; D014657:Vasculitis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
D000893:Anti-Inflammatory Agents; D005456:Fluorescent Dyes; D011239:Prednisolone; D007208:Indocyanine Green