Frosted-branch angiitis with central-retinal-vein occlusion: angiographic and OCT findings
Harvey S. Uy, MD
Objective
To report angiographic and optical-coherence-tomography findings in a case of frosted-branch angiitis (FBA) with centralretinal-vein occlusion (CRVO).
Methods
This is a case report.
Results
A healthy Japanese female presented with monocular blurring of vision. Fluorescein angiography (FA) revealed extensive dye leakage from the retinal blood vessels and optic-nerve head. Indocyanine-green (ICG) angiography demonstrated tortuous retinal veins containing foci of hypofluorescence, foci of hyperfluorescence, and diffuse dye leakage. Late choroidal hypofluorescent patches were observed. Optical coherence tomography demonstrated swelling of the optic-nerve head and thickening of the sensor y retina and ner ve-fiber layer. Aggressive steroid treatment resulted in improved vision and angiographic appearance.
Conclusion
CRVO may be an initial presentation of FBA. FA, ICG, and nerve-fiber-layer OCT examinations are useful in monitoring disease resolution. Early and aggressive steroid treatment can help control inflammation and improve visual outcome