A case of occlusive retinal vasculitis with severe proliferation

We report a case of unilateral occlusive retinal vasculitis in a 53- year-old female with no systemic abnormalities. She noted decreased vision in her right eye. Slit lamp examination revealed iridocyclitis in both eyes. Venous dilatation and tortuousity, perivascular exudates and preretinal and intraretinal hemorrhages were observed in the right fundus. Fluorescein angiography showed dye leakage from the vessels and nonperfused retina in the periphery. Her left fundus was normal. The retinal vasculitis subsided after systemic corticosteroid therapy, but subsequent vitreous hemorrhage necessitated vitrectomy, including removal of proliferative membrane causing tractional retinal detachment at the posterior pole, and photocoagulation for nonperfused retina. Seven weeks after the surgery, reoperation was performed for removal of recurrent proliferative membrane with macular traction, and additional photocoagulation for nonperfused retina. Five weeks later, recurrent proliferation required panretinal photocoagulation, leading to marked inflammation with further proliferation. Vitreous surgery was performed for a reopened retinal break, resulting in retinal reattachment. Seven weeks later, severe inflammation with hypotony and corneal opacity occurred, followed by phthisis bulbi.