A RARE CASE OF BILATERAL FROSTED BRANCH ANGITIS
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CheifAuthor:
Dr.V.Sreekumar
Associate professor &HOD
Mahabubabad
CoAuthors:Dr.M.Flarence
Dr.B.Kavitha
Dr.J.Sravani
Dr.S.Sukitha
Dr.G.Harika
Dr.Rajani
INTRODUCTION
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Frosted branch angitis is an acute panuveitis with severe vasculitis affecting the entire retina
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It is a primary retinal vasculitis,Retinal vessel is a primary target of inflammatory process
•
First described by ITO in Japanese literature in 1976,in 6 years old child with severe sheathing of all retinal
vessels appearing as frosted branches of tree
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Etiological categories include idiopathic ,traumatic ,infective (CMV,AIDS,TB,HSV,EBV etc)
autoimmune(Behcet’s ,Chrons etc),masquerades(large cell lymphoma,Hodgkins lymphoma etc) and
miscellaneous(antithyroid medications, adalimumab etc)
•
A 36 years old female patient came with a chief complaint of sudden diminution of vision for 3 days
•
Known case of thyroid eye disease since 16 years
•
On examination
INVESTIGATIONS:
•
OCT showed macular edema
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OPTOMAP showed both eyes
frosted branch angitis
•
Blood investigation:CMV titre was
160IU/mL
•
MRI Brain showed diffuse
granulomatous changes in brain
parenchyma
DISCUSSION
The purpose of case presentation is as it a VERY RARE case of BILATERAL frosted branch angiitis
causing a characteristic florid translucent retinal perivascular sheathing of both arterioles and venules
in association with variable uveitis retinal oedema and vision loss secondary due to Cytomegalovirus
CONCLUSION
Pateint was treated with High dose of oral steroids with tapering and Tab valacyclovir 1000mg twice a
day then patent slowly improved her vision
A detailed study on a rare case of bilateral frosted branch angitis, a condition characterized by vasculitis affecting the entire retina. The case presentation includes examination findings, investigations such as OCT and OPTOMAP, and discussions on treatment approaches. The patient was treated with high-dose oral steroids and antiviral medication, showing gradual improvement in vision.
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Presentation Transcript
A RARE CASE OF BILATERAL FROSTED BRANCH ANGITIS CheifAuthor: Dr.V.Sreekumar Associate professor &HOD Mahabubabad CoAuthors:Dr.M.Flarence Dr.B.Kavitha Dr.J.Sravani Dr.S.Sukitha Dr.G.Harika Dr.Rajani
INTRODUCTION Frosted branch angitis is an acute panuveitis with severe vasculitis affecting the entire retina It is a primary retinal vasculitis,Retinal vessel is a primary target of inflammatory process First described by ITO in Japanese literature in 1976,in 6 years old child with severe sheathing of all retinal vessels appearing as frosted branches of tree Etiological categories include idiopathic ,traumatic ,infective (CMV,AIDS,TB,HSV,EBV etc) autoimmune(Behcet s ,Chrons etc),masquerades(large cell lymphoma,Hodgkins lymphoma etc) and miscellaneous(antithyroid medications, adalimumab etc)
A 36 years old female patient came with a chief complaint of sudden diminution of vision for 3 days Known case of thyroid eye disease since 16 years On examination RIGTH EYE LEFT EYE Visual acuity CF CF Lids Normal Normal Conjuctiva Quite Quite Cornea Clear Clear Anterior chamber Cells++ Cells++ Pupil NSRL NSRL IOP 16mm of Hg 16mm of Hg Lens Clear Clear Fundus Media-hazy with vitreous cells CDR-0.3:1 BV-Telangiectatic vessels and perivascular sheathing in all quadrants Macula-edema+ Media-hazy with vitreous cells CDR-0.3:1 BV-Telangiectatic vessels and perivascular sheathing in all quadrants Macula-edema+
INVESTIGATIONS: OCT showed macular edema OPTOMAP showed both eyes frosted branch angitis Blood investigation:CMV titre was 160IU/mL MRI Brain showed diffuse granulomatous changes in brain parenchyma
DISCUSSION The purpose of case presentation is as it a VERY RARE case of BILATERAL frosted branch angiitis causing a characteristic florid translucent retinal perivascular sheathing of both arterioles and venules in association with variable uveitis retinal oedema and vision loss secondary due to Cytomegalovirus
CONCLUSION Pateint was treated with High dose of oral steroids with tapering and Tab valacyclovir 1000mg twice a day then patent slowly improved her vision
