Acute Frosted Retinal Periphebitis

Prut Hanutsaha M.D.,
Tiam Lawtiantong M.D.
Department of Ophthalmology, Ramathibodi Hospital, Faculty of Medicine, Mahidol University

ABSTRACT We reported a case of acute frosed retinal periphlebitis in a 28-year-old Thai female.

She came with the history of acute blurred vission in her right eye. The initial visual acuity was 5/200 in the right eye and 20/20 in the left eye. She had mild anterior segment inflammatory reaction and marked perivenous sheathing in the retinal and some macular hard exudates in her right eye. One week later, she developed a milder degree of periphlebitis in her left eye and the visual acuity was decreased to 20/30. The fundus fluorescein angiogram showed normal dye filling in the early phase, and widespread of venous wall staining and leakage in the late phase.

The inflammatory reaction subsided after systemic steriod therapy, but the macular exudates in the right eye persisted. The final visual acuity was 5/ 200 in the right eye and 20/30 in left eye.