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CASE REPORT
Year : 2018  |  Volume : 66  |  Issue : 10  |  Page : 1496-1498

A case of Leber's miliary aneurysms with diffuse peripheral retinal vascular sheathing


Department of Ophthalmology and Visual Science, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea

Correspondence Address:
Dr. Jiwon Baek
Department of Ophthalmology and Visual Science, Bucheon St. Maryfs Hospital, College of Medicine, The Catholic University of Korea, #327 Sosa-ro, Wonmi-gu, Bucheon, Gyeonggi-do 14647
Republic of Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_52_18

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A 30-year-old female presented with macular edema and discoid exudation at the posterior pole. Diffuse vascular sheathing was observed at the peripheral retina. Fluorescein angiography revealed multiple microaneurysms at the posterior pole and leakage from the peripheral vessels. Two monthly intravitreal bevacizumab led to minimal improvement, and resolution of macular edema was achieved by an additional intravitreal triamcinolone. The findings at the posterior pole resembled those of Leber's miliary aneurysm. However, this case also demonstrated a peculiar vascular sheathing at the periphery and showed response to triamcinolone, which are evidences for an inflammatory condition.


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