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Presentation preference Oral presentation
TitleNovel OCT Finding of Retinal Vasculitis Associated with Multiple Sclerosis
Accept poster if oral is not possible ?No
PurposeTo report a new optical coherence tomography (OCT) finding of retinal vasculitis associated with multiple sclerosis.
MethodsThis study was a prospective observational analysis of all cases of retinal vasculitis associated with multiple sclerosis (MS). All patients underwent OCT scans in the areas showing clinically evident retinal vasculitis "sheathing."
ResultsA total of 12 patients (24 eyes) diagnosed with retinal periphlebitis associated with MS were included in the study. For comparison, 16 patients (24 eyes) with non-MS retinal vasculitis were also included. The non-MS vasculitis diagnoses consisted of 4 patients (6 eyes) with Behçet's disease, 2 patients (4 eyes) with sarcoidosis, 3 patients (3 eyes) with vasculitis secondary to tuberculosis, 2 patients (2 eyes) with toxoplasmosis, 1 patient (1 eye) with syphilis, and 4 patients (8 eyes) with idiopathic vasculitis. OCT scans revealed that all cases of periphlebitis associated with MS (100%) exhibited hyperreflective tissue facing the vitreous cavity in the areas affected by clinically apparent vascular sheathing. This specific finding was absent in all non-MS-related vasculitis cases.
ConclusionOCT provides novel findings of hyperreflective tissue facing the vitreous cavity over the periphlebitis area in all MS cases. This suggests that OCT may be an important non-invasive tool for suspecting MS in patients with retinal vasculitis. Further future studies are warranted to confirm this finding and its association.
Conflict of interestNo
1
Last nameALBLOUSHI
Initials of first name(s)A F
Department Department of Ophthalmology, College of Medicine, King Saud University
CityRiyadh
CountrySaudi Arabia