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Images in medicine
Occlusive retinal vasculitis secondary to Behçet's disease
  1. Peng-Tai Tien1,2,
  2. Hui-Ju Lin2,3,
  3. Wen-Lu Chen2,3,
  4. Chun-Ju Lin2,4,
  5. Jane-Ming Lin2,3,
  6. Yi-Yu Tsai1,2,4
  1. 1Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taichung, Taiwan
  2. 2Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan
  3. 3School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan
  4. 4School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan
  1. Correspondence to Dr Yi-Yu Tsai, 2 Yude Road, Taichung 40447, Taiwan, R.O.C.; yiyutsai{at}seed.net.tw

http://dx.doi.org/10.1136/postgradmedj-2016-134173

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    A 25-year-old man presented with left eye visual impairment. He had received immunotherapy due to spiking fever; recurrent oral ulcers, and arthralgia followed by red skin nodules. His condition was stabilised using oral prednisolone and cyclosporine at a rheumatologic clinic. However, left eye blurring vision (20/30) appeared after tapering cyclosporine. Vitritis (figure 1A) was accompanied by retinal infiltrates and branch retinal vein occlusions. Extensive perivenous sheathing with intraretinal haemorrhages was associated with the occlusive retinal vasculitis (figure 1B). The fluorescein angiography revealed retinal non-perfusion (figure 2 …

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    Footnotes

    • Contributors P-TT contributed to the conception and the acquisition of data, and drafted the manuscript. Y-YT contributed to the conception and revising the manuscript critically. H-JL contributed to the conception and drafted the manuscript. W-LC, C-JL and J-ML contributed to image interpretation. All authors contributed to the critical revision of the paper and approved the final manuscript for publication.

    • Funding This study is supported in part by the Taiwan Ministry of Health and Welfare Clinical Trial and Research Center of Excellence (MOHW105-TDU-B-212-133019) and China Medical University Hospital (DMR-104-116).

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.