INDOCYANINE GREEN ANGIOGRAPHY OF OPTIC DISK GRANULOMA IN OCULAR SARCOIDOSIS.

Q3 Medicine

Retinal Cases and Brief Reports Pub Date : 2025-03-01 DOI:10.1097/ICB.0000000000001534

Matias Soifer, Nam V Nguyen, Boonkit Purt, Sunil Bellur, Shilpa Kodati

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引用次数: 0

Abstract

Purpose: The aim of this study was to report novel indocyanine green angiography findings of optic disk granulomas secondary to sarcoidosis.

Methods: This was an observational case report.

Results: A 36-year-old White man, who had previously been evaluated for birdshot chorioretinopathy and tested HLA-A29 negative, was referred for evaluation of choroidal lesions in both eyes. Fundus examination revealed ovoid choroidal lesions bilaterally in the posterior pole. Optical coherence tomography demonstrated bilateral focal choroidal elevations in the posterior pole and optic disks consistent with granulomas. Indocyanine green angiography revealed diffuse choroidal hypocyanescent spots with late-phase focal hypercyanescence of the optic disks in both eyes corresponding to the granulomas. After 3 months of prednisone and immunomodulatory treatment, the granulomas improved, and the optic disk hypercyanescence resolved.

Conclusion: The authors describe a case of ocular sarcoidosis mimicking birdshot-like lesions, and indocyanine green angiography findings revealed late hypercyanescence, which resolved with treatment.

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眼肉样瘤病视盘肉芽肿的吲哚菁绿血管造影。

目的：报告肉样瘤病继发视盘肉芽肿的吲哚菁绿血管造影（ICG）新发现：方法：观察性病例报告：一名 36 岁的白人男性曾接受过鸟枪状脉络膜视网膜病变评估，HLA-A29 阴性。眼底检查发现双侧后极部有卵圆形脉络膜病变。光学相干断层扫描显示，后极部和视盘的双侧局灶性脉络膜隆起与肉芽肿一致。ICG 显示弥漫性脉络膜低青紫斑，双眼视盘晚期局灶性高青紫，与肉芽肿一致。经过三个月的泼尼松和免疫调节治疗后，肉芽肿有所改善，视盘高黄斑化消失：我们描述了一例模仿鸟枪样病变的眼肉样瘤病，ICG检查结果显示了晚期高黄斑化，经治疗后缓解。

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来源期刊

Retinal Cases and Brief Reports Medicine-Ophthalmology

CiteScore

2.10

自引率

0.00%

发文量

342