Degenerative Peripheral Retinoschisis (PRS) with Abnormal Retinal Vascular Changes Masquerading as Occlusive Retinal Vasculitis in an Intermediate Uveitis (IU) case; case report and review of literature.
Accept poster if oral is not possible ?
Yes
Purpose
To highlights the importance of considering PRS associated abnormal retinal vessels as a masquerade of IU mimicking occlusive retinal vasculitis.
Methods
Case report and literature review.
Results
A 64 years old female who was referred to our uveitis team in a tertiary hospital for investigations and management of left eye IU with features of occlusive retinal vasculitis following presentation with normal vision and bilateral floaters to her optician.
There were few chronic vitreous snow balls in the right eye and infero-temporal degenerative changes with exudates and small retinal haemorrhages in the left eye adjacent to an area of flat retinoschisis. The aforementioned clinical findings alongside the multi-modal imaging (coloured photos, OCT macula, FAF, FFA and US B scan ) findings were in keeping with bilateral quiescent undifferentiated inactive IU and left eye vascular abnormalities secondary to PRS.
Conclusion
It is important for ophthalmologists to make an accurate diagnosis and to understand the risk-benefit ratio associated with intervention. Management approaches differ with the occlusive retinal vasculitis secondary to IU and abnormal vessels associated with PRS. The former necessitates urgent treatment to control the inflammation including immunosuppression, and in some cases retinal laser photocoagulation. On the contrary, the later can be monitored closely with treatment and intervention needed only with clinical progression. It is therefore caution should be taken in account before offering intervention that in most cases ultimately proves to be unnecessary.
Conflict of interest
No
1
Last name
ELSHEIKH
Initials of first name(s)
S
Department
Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NH
City
Birmingham
Country
United Kingdom
2
Last name
Agorogiannis
Initials of first name(s)
G
Department
Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, UHB
City
Birmingham
Country
United Kingdom
3
Last name
Kidess
Initials of first name(s)
A
Department
Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, UHB
City
Birmingham
Country
United Kingdom
4
Last name
Tallouzi
Initials of first name(s)
M
Department
Academic Unit of Ophthalmology, Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hosp
City
Birmingham
Country
United Kingdom
5
Last name
Balasubramaniam
Initials of first name(s)
B
Department
Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, UHB
City
Birmingham
Country
United Kingdom
6
Last name
Patil
Initials of first name(s)
A
Department
Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, UHB
City
Birmingham
Country
United Kingdom
7
Last name
Bilal
Initials of first name(s)
L
Department
Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, UHB
City
Birmingham
Country
United Kingdom
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