TY - JOUR
T1 - Indocyanine green angiographic evidence of choroiditis in scleroderma
AU - Abdellatief, Amro
AU - Balasubramaniam, Saranya C.
AU - Grube, Thomas J.
AU - Gonzalez Santiago, Tania M.
AU - Osborn, Thomas G.
AU - Pulido, Jose S.
N1 - Publisher Copyright:
© 2015 by Ophthalmic Communications Society, Inc.
PY - 2015/6/6
Y1 - 2015/6/6
N2 - Purpose: The purpose of this case report was to demonstrate evidence of indocyanine green angiography leakage consistent with choroiditis in a patient with scleroderma. Methods: In this case report, the patient underwent a variety of tests and examinations, including systemic evaluation, full ocular examination, skin biopsy, indocyanine green, and fluorescein angiography testing. A 52-year-old man had blurred vision centrally in both eyes. Vision was 20/25 and 20/20. Posterior examination showed cotton-wool spots in both eyes. The patient met European League against Rheumatism (EULAR) criteria for scleroderma. Results: Fluorescein angiography confirmed the presence of leakage from the retinal vessels. More importantly, indocyanine green angiography revealed choroidal vessel leakage in both eyes. This provided evidence of choroiditis before vessel obliteration. Previous studies have shown evidence of choriocapillaris obliteration. Choroidal vessel leakage, however, has not been reported in patients with scleroderma. Conclusion: The results of this case demonstrate the usefulness of indocyanine green angiography in detecting the presence of choroiditis in scleroderma.
AB - Purpose: The purpose of this case report was to demonstrate evidence of indocyanine green angiography leakage consistent with choroiditis in a patient with scleroderma. Methods: In this case report, the patient underwent a variety of tests and examinations, including systemic evaluation, full ocular examination, skin biopsy, indocyanine green, and fluorescein angiography testing. A 52-year-old man had blurred vision centrally in both eyes. Vision was 20/25 and 20/20. Posterior examination showed cotton-wool spots in both eyes. The patient met European League against Rheumatism (EULAR) criteria for scleroderma. Results: Fluorescein angiography confirmed the presence of leakage from the retinal vessels. More importantly, indocyanine green angiography revealed choroidal vessel leakage in both eyes. This provided evidence of choroiditis before vessel obliteration. Previous studies have shown evidence of choriocapillaris obliteration. Choroidal vessel leakage, however, has not been reported in patients with scleroderma. Conclusion: The results of this case demonstrate the usefulness of indocyanine green angiography in detecting the presence of choroiditis in scleroderma.
KW - EULAR
KW - choriocapillaris
KW - choroiditis
KW - fluorescein angiography
KW - indocyanine green dye
KW - scleroderma
KW - vessel leakage
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U2 - 10.1097/ICB.0000000000000146
DO - 10.1097/ICB.0000000000000146
M3 - Article
C2 - 25769052
AN - SCOPUS:84930425766
SN - 1935-1089
VL - 9
SP - 231
EP - 234
JO - Retinal Cases and Brief Reports
JF - Retinal Cases and Brief Reports
IS - 3
ER -