PMC4966646_01
Dense vitritis.
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Fundus examination showed anterior vitreous cells' grade 3+ (Figure 1), vitreous haze grade 3, snow balls, and unclear optic disk in the right eye.
Intraoperative findings were dense vitritis, fibrous tissue on superior disk with diffuse periphery sclerotic vessels, and sheathing of both artery and vein.
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Intraoperatively (Figure 2), we found dense vitritis, fibrous tissue on the superior disk with diffuse sclerotic vessels, and sheathing of both artery and vein.
Fluorescein angiography.. Notes: (A) Photo fundus showed fibrous band on hyperemia optic disk. (B) Optic disk showed leakage in early phase. (C-D) Ischemic area was observed at periphery with occluded retinal artery and leakage retinal vein in all quadrants of the right eye.
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Fluorescein angiography (Figure 3) confirmed leakage at the optic disk and occluded retinal artery and retinal vein leakage at the periphery in all quadrants of the right eye.
Panretinal photocoagulation of the right eye at ischemic area was performed.. Notes: (A) Posterior pole. (B) Laser scar at periphery.
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Panretinal photocoagulation of the right eye at the ischemic area was performed (Figure 4).
Post-IV acyclovir after 14 days of therapy.. Notes: (A) Laser scar. (B) Repeated FA, peripheral retinal vein still has leakage. (C-D) Late phase.. Abbreviation: IV, intravenous; FA, fluorescein angiography.
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After 14-day therapy (Figure 5) with intravenous acyclovir, her anterior chamber activity in the right eye was much improved, but intraocular pressure still rose to 32.
Post-IV acyclovir after 4 weeks of therapy.. Notes: (A) Photo fundus showed optic disk edema decreased. (B-D) FA confirmed retinal phlebitis improved.. Abbreviation: IV, intravenous; FA, fluorescein angiography.
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Post-acyclovir after 3 months of therapy.. Notes: (A) Normal optic disk. (B-D) Retinal vascular leakage was not observed.
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After 3 months of therapy (Figure 7), her right visual acuity increased up to 20/20, intraocular pressure was 17, and no anterior chamber cells were observed.
Post-acyclovir after 6 months of therapy (after 3 months of discontinued oral acyclovir).. Notes: (A) There was no vitreous haze and disk edema. (B) Optic disk showed no leakage. (C-D) Periphery has become quiet.
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After 6 months of therapy (Figure 8), the visual acuity was 20/20 in both eyes, and intraocular pressure was controlled.