Retinal obliterative vasculitis associated to contralateral retinal neovascularization in membranoproliferative glomerulonephritis. Issue 5 (September 2022)

• Record Type: Journal Article
• Authors: Nicolai, Michele; Franceschi, Alessandro; Lassandro, Nicola Vito; Pelliccioni, Paolo; Danieli, Luca; Pirani, Vittorio; Mariotti, Cesare
• Is Part Of: European journal of ophthalmology. Volume 32:Issue 5(2022)
• Page Start: NP20
• Page End: NP23
• Publication Date: 2022-09
• Subjects: Retinal obliterative vasculitis -- retinal neovascularization -- membranoproliferative glomerulonephritis -- branch retinal vein occlusion -- cystoid macular oedema; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.1177/11206721211014384
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: To report our experience with a peculiar case of asynchronous bilateral retinal vascular occlusion in a patient suffering from membranoproliferative glomerulonephritis. Case report: A 57-year-old dialysed male affected by membranoproliferative glomerulonephritis who underwent kidney transplantation complained of a sudden vision loss in his right eye (RE). His best-corrected visual acuity (BCVA) was 20/40 in RE and 20/20 in the left eye (LE); ophthalmological and fluorangiographic examinations revealed unilateral retinal obliterative vasculitis with panuveitis and apparent sparing of contralateral eye. About 6 months later the patient developed a branch retinal vein occlusion associated with a papillary neovascular membrane in LE. Corticosteroid therapy was administered and immunosuppressant dosage was increased with macular oedema reduction in both events. Conclusion: We report a case of unilateral retinal obliterative vasculitis and subsequent contralateral retinal neovascularization and branch retinal vein occlusion in a patient affected by membranoproliferative glomerulonephritis.