Ultra-Wide-Field Fluorescein Angiography in Microscopic Polyangiitis. (30th October 2016)

• Record Type: Journal Article
• Authors: Storey, Philip P.; Philander, Shannon A.; Ter-Zakarian, Anna; Rao, Narsing A.; Rodger, Damien C.
• Other Names: Kiss Christopher G. Academic Editor.
• Is Part Of: Case reports in ophthalmological medicine. Volume 2016(2016)
• Publication Date: 2016-10-30
• Subjects: Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; Ophthalmology; Eye Diseases; Eye -- Diseases; Ophthalmology; Electronic journals; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.7
• DOI: 10.1155/2016/9834684
• Languages: English
• ISSNs: 2090-6722

Abstract

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.