Non-inflammatory conditions misdiagnosed as retinal vasculitis
Purpose
To report five cases of non-inflammatory conditions misdiagnosed as retinal vasculitis.
Methods
A retrospective case series.
Results
Both eyes were affected in four cases. There were vitreous cells in one eye and vitreous hemorrhage in two eyes. Fundus examination showed retinal vascular sheathing in 6 cases, multiple peripheral retinal hemorrhages in 3 eyes, combined central retinal artery occlusion and central retinal vein occlusion in one eye and retinal detachment in one eye. Fluorescein angiography revealed areas of peripheral ischemia in 5 eyes, Coats-like changes in one eye, and peripheral retinal neovascularization in 3 eyes. Final diagnosis was chronic rhegmatogenous retinal detachment in one case, acute lymphoblastic leukemia in one case, familial exudative vitreoretinopathy in two cases and retinopathy of prematurity in one case.
Conclusion
Various specific non-inflammatory conditions can lead to retinal vascular changes that may mimic retinal vasculitis. Physicians should pay close attention to the clinical presentation in order to rule out a masquerade syndrome.
Conflict of interest
No
Authors 1
Last name
ABROUG
Initials of first name(s)
N
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City
MONASTIR
Country
Tunisia
Authors 2
Last name
KHAIRALLAH
Initials of first name(s)
M
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City
MONASTIR
Country
Tunisia
Authors 3
Last name
KRIFA
Initials of first name(s)
H
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City
MONASTIR
Country
Tunisia
Authors 4
Last name
LAAJIMI
Initials of first name(s)
F
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City
MONASTIR
Country
Tunisia
Authors 5
Last name
KHOCHTALI
Initials of first name(s)
S
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City
MONASTIR
Country
Tunisia
Authors 6
Last name
KHAIRALLAH
Initials of first name(s)
M
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
City
MONASTIR
Country
Tunisia
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