Acute frosted retinal periphlebitis

We examined three previously healthy young patients who suffered acute visual loss associated with diffuse bilateral retinal periphlebitis. Each patient developed thick, inflammatory infiltrates surrounding all of the retinal veins, creating the appearance of frosted tree branches. Initial visual ac...

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Bibliographic Details
Published inAmerican journal of ophthalmology Vol. 106; no. 1; p. 27
Main Authors Kleiner, R C, Kaplan, H J, Shakin, J L, Yannuzzi, L A, Crosswell, Jr, H H, McLean, Jr, W C
Format Journal Article
LanguageEnglish
Published United States 15.07.1988
Subjects
Acute Disease
Adrenal Cortex Hormones - therapeutic use
Adult
Female
Fluorescein Angiography
Humans
Male
Retinal Diseases - drug therapy
Retinal Diseases - pathology
Retinal Diseases - physiopathology
Retinal Vessels
Vasculitis - drug therapy
Vasculitis - pathology
Vasculitis - physiopathology
Vision Disorders - etiology
Visual Acuity
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Summary:We examined three previously healthy young patients who suffered acute visual loss associated with diffuse bilateral retinal periphlebitis. Each patient developed thick, inflammatory infiltrates surrounding all of the retinal veins, creating the appearance of frosted tree branches. Initial visual acuities ranged from 20/20 to hand motions (median, counting fingers). All patients showed rapid improvement after starting oral corticosteroid therapy, and all but one of the six affected eyes regained a visual acuity of 20/20. The clinical appearance and course of these patients matched those of a condition previously described in Japan and labeled frosted branch angiitis. The term "acute frosted retinal periphlebitis" seems to describe more accurately the clinical findings.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)76383-4