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Editor,—Retinal vasculitis (RV) can be classified into ischaemic and non-ischaemic forms according to fluorescein angiographic findings: ischaemic RV is characterised by venous or capillary closure, or both. The aetiology of vascular closure in ischaemic RV is not clear, and histological evidence is scarce, but it is generally considered to be due to localised thrombosis. We present a case of ischaemic RV which on postmortem examination was found to be due to retinal vascular occlusion by non-caseating granulomas, consistent with a diagnosis of sarcoidosis.
CASE REPORT
A 52-year-old woman was referred with a 7 month history of painless misty vision with floaters. She was well and had attended the local ophthalmic unit, where a diagnosis of retinal vasculitis was made. She had no symptoms suggestive of a systemic inflammatory disorder. She was a heavy smoker, and her father had died from a myocardial infarction aged 59 years.
On examination at her first attendance to the St Thomas’s Medical Eye Unit, her visual acuities …
Footnotes
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↵Dr McCartney sadly died during the writing of this case report, following a long illness.