Case Report of International Journal of Case Reports
Evaluation of Macular Circulation in Patient with Sudden Visual Loss Secondary to Behcet’s Perifoveal Vasculitis by Using (Retinal Flow) Swept-Source Optical Coherence Tomography Angiography Map
Almamoori Fawwaz*, Hara Mutaz.
Department of Medical Retina, Sharif Eye Center, Jordan
Objective: To evaluate macular vascular circulation in patient with perifoveal vasculitis secondary to Behcet’s disease by using (Retinal Flow) swept source optical coherence tomography angiography map. Methods: We retrospectively review a 39-y old female patient, with history of Behcet’s disease, presented with history of sudden unexplained central loss of vision which was more significant on the right eye with best corrected vision (BCVA=0.1) and less on the left eye with best corrected visual acuity (BCVA=0.7). The clinical ophthalmic examination of both anterior and posterior segments for the both eyes were normal with no any signs of uveitis. Imaging with DRI Triton Swept Source (SS- OCTA) (Topcon, Japan) was performed for evaluation of both superficial and deep capillary plexus of macular area. Fluorescein angiography (FA) was used also for assessing foveal avascular zone features. Results: The SS-OCTA Retinal Flow map was more sensitive than FA in marking out hypoperfusion in both superficial capillary plexus (SCP), and deep capillary plexus (DCP), especially in the right eye which had the positive correlation with visual acuity. SS-OCTA Retinal Flow map was also sensitive in showing improvement of macular hypoperfusion after treatment of Behcet’s Perifoveal Vasculitis. Conclusion: OCTA is a noninvasive imaging modality that can be used to evaluate macular vascular changes in Bechet’s perifoveal vasculitis and can explain acute visual loss in Behcet.
Keywords: Macular Circulation, Sudden Visual Loss Secondary to Behcet’s Perifoveal Vasculitis, Swept-Source Optical Coherence Tomography Angiography Map
How to cite this article:
A. DANIEL and A.O. ADELEYE. Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child. International Journal of Case Reports, 2019 4:69
1. Behcet H (1937) Dermatol Wochenschr 105:1152-1157.
2. Atmaca LS (1989) Fundus changes associated with Bechet’s disease. Grafes Arch Clin Exp Ophthalmol 227:340-344.
3. 1. Gao SS, Jia Y, Zhang M, Su JP, Liu G, Hwang TS, Bailey ST, Huang D. Optical coherence
1. tomography angiography. Invest Ophthalmol Vis Sci. 2016;57(9):27–36.
4. Khairallah M, Abrough N., Khochtali S.,Optical coherence tomography in patient with behcet uveitis.Retin.2016 doi:10.1097/IAE.0000000000001418.[PubMED].
5. Nemiroff J., Phasukkijwatana N., Sarraf D. Optical coherence tomography angiography of deep capillary ischemia. Developments in Ophthalmology. 2016; 56:139–145. doi: 10.1159/000442806.
6. Wang J., Gao X., Huang W., Wang W., Chen S., Du S. Swept-source optical coherence tomography imaging of macular retinal and choroidal structures in healthy eyes. BMC Ophthalmology. 2015;15: p. 122. doi: 10.1186/s12886-015-0110-3. [PMC free article] [PubMed] [CrossRef]