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. 2016:2016:9834684.
doi: 10.1155/2016/9834684. Epub 2016 Oct 30.

Ultra-Wide-Field Fluorescein Angiography in Microscopic Polyangiitis

Philip P Storey  1 , Shannon A Philander  1 , Anna Ter-Zakarian  1 , Narsing A Rao  1 , Damien C Rodger  1
Affiliations

Ultra-Wide-Field Fluorescein Angiography in Microscopic Polyangiitis

Philip P Storey et al. Case Rep Ophthalmol Med. 2016.

Abstract

A 25-year-old Hispanic female presented with 5 months of dry eyes and 2 months of bilateral photophobia and decreased vision. On examination, she had bilateral anterior uveitis and mild disc edema of the left eye. A complete infectious and inflammatory work-up was positive for elevated antinuclear antibodies and p-ANCA, leading to a diagnosis of microscopic polyangiitis. One year after initial treatment and steroid taper, an ultra-wide-field fluorescein angiography revealed peripheral vasculitis, outside of the standard traditional field of view, leading to an increase in immunomodulatory therapy and illustrating the utility of wide-field angiography for managing patients with uveitis.

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Figures

Figure 1
Figure 1
Ultra-wide-field fundus photographs of a patient with microscopic polyangiitis showing relatively normal appearing retinas in both eyes.
Figure 2
Figure 2
Ultra-wide-field fluorescein angiography of a patient with microscopic polyangiitis showing mild peripheral late leakage in the left eye (arrows) outside the range of standard field imaging.
See this image and copyright information in PMC

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