Widespread vitreoretinal traction simulating retinal vasculitis in a patient with uveitis

Abstract

Purpose: To describe a case of uveitis with widespread vitreoretinal traction simulating retinal vasculitis angiographically. Methods: Interventional case report. Results: A 62-year-old woman was examined for low vision in her left eye that persisted for ?1 year. She had been treated for polymyalgia rheumatica for 1 year. Visual acuity was 20/20 in the right eye and 20/100 in the left eye. There were a few aged vitreous cells in both eyes. On fundus examination, there was mild epiretinal membrane in the left eye. Fluorescein angiography revealed diffuse fluorescein leakage in the late phase of angiography in the macular peripapillary and superior retinal hemisphere in the left eye, which appeared similar to retinal vasculitis. With optical coherence tomography, there was vitreomacular traction on the macular, peripapillary, and major branches of vessels in the left eye. Fundus examination was normal in the right eye. Pars plana vitrectomy was performed in the left eye uneventfully. Visual acuity was 40/100 at the postoperative 1-year follow-up. Conclusion: Vitreoretinal traction can be widespread and can cause diffuse fluorescein leakage resembling vasculitis or other types of uveitis. Copyright © Lippincott Williams and Wilkins.