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Spontaneous Retinal Capillary Reperfusion in a Systemic Illness

Spontaneous Retinal Capillary Reperfusion in a Systemic Illness Abstract Retinal capillary nonperfusion is a manifestation of a variety of ocular vascular occlusive diseases, either localized to the eye or related to a systemic disease. Regardless of the cause, significant reperfusion of the occluded capillary circulation is rare.1,2 We present a man with a systemic illness of unknown origin who presented with poor visual acuity in association with massive capillary nonperfusion in each eye that spontaneously resolved. Report of a Case. —A 23-year-old black Haitian man presented to the New York (NY) University ophthalmology service with a 2-month history of decreasing visual acuity in both eyes. He had a 5-month history of night sweats, fever at night to 39°C, weight loss (6.75 kg), fatigue, malaise, insomnia, myalgias, arthralgias, and inguinal node swelling. He had previously been in excellent health with normal visual acuity. He was an accounting student who denied intravenous drug use, homosexuality, or contact with prostitutes.On admission References 1. Noble KG, Kupersmith MJ. Retinal vascular remodelling in radiation retinopathy . Br J Ophthalmol . 1984;68:475-478.Crossref 2. Mohan R, Kohner EM. Retinal revascularization in diabetic retinopathy . Br J Ophthalmol . 1986;70:114-117.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Spontaneous Retinal Capillary Reperfusion in a Systemic Illness

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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1991.01080020025016
Publisher site
See Article on Publisher Site

Abstract

Abstract Retinal capillary nonperfusion is a manifestation of a variety of ocular vascular occlusive diseases, either localized to the eye or related to a systemic disease. Regardless of the cause, significant reperfusion of the occluded capillary circulation is rare.1,2 We present a man with a systemic illness of unknown origin who presented with poor visual acuity in association with massive capillary nonperfusion in each eye that spontaneously resolved. Report of a Case. —A 23-year-old black Haitian man presented to the New York (NY) University ophthalmology service with a 2-month history of decreasing visual acuity in both eyes. He had a 5-month history of night sweats, fever at night to 39°C, weight loss (6.75 kg), fatigue, malaise, insomnia, myalgias, arthralgias, and inguinal node swelling. He had previously been in excellent health with normal visual acuity. He was an accounting student who denied intravenous drug use, homosexuality, or contact with prostitutes.On admission References 1. Noble KG, Kupersmith MJ. Retinal vascular remodelling in radiation retinopathy . Br J Ophthalmol . 1984;68:475-478.Crossref 2. Mohan R, Kohner EM. Retinal revascularization in diabetic retinopathy . Br J Ophthalmol . 1986;70:114-117.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1991

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