Multiple Retinal Arterial Occlusion and Retinal Vasculitis Associated With IgA Nephropathy.

Kim, Seong Jae; Chung, In Young; Park, Jong Moon

doi:2009.50.12.1887

J Korean Ophthalmol Soc > Volume 50(12); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(12):1887-1891.
DOI: https://doi.org/10.3341/jkos.2009.50.12.1887 Published online December 15, 2009.

Multiple Retinal Arterial Occlusion and Retinal Vasculitis Associated With IgA Nephropathy.

Seong Jae Kim, In Young Chung, Jong Moon Park

¹Department of Ophthalmology, Gyeong Sang National University, College of Medicine, Jinju, Korea. parkjm@gnu.ac.kr
²Gyeong Sang Institute of Health Science, Gyeongsang National University, Jinju, Korea.

IgA 신병증 환자에서 혈관염을 동반한 광범위 망막동맥폐쇄

김성재¹ㆍ정인영^1,2ㆍ박종문^1,2

Department of Ophthalmology, Gyeong Sang National University, College of Medicine¹, Jinju, Korea Gyeong Sang Institute of Health Science, Gyeongsang National University², Jinju, Korea

Abstract

PURPOSE
To report a case of occlusion of multiple retinal arteries associated with retinal vasculitis-associated IgA nephropathy. Case summary: A 37-year-old diagnosed with immunoglobulin A(IgA) nephropathy by renal biopsy four months prior was referred to an ophthalmologist complaining of visual impairment in her right eye. On physical examination, the patient's visual acuity was hand-movements in the right eye and 1.0 in the left eye. She had relative afferent papillary defect in the right eye with cells in the anterior chamber. She was diagnosed with occlusion of multiple retinal arteries and retinal vasculitis on fundus examination and fluorescein angiogram. There were no abnormal findings on routine hematologic tests including thrombophilia studies, carotid artery, or cardiovascular examination. Antinuclear antibody, rheumatoid factor, and antiphospholipid antibody were negative. CONCLUSIONS: The patient was diagnosed with retinal artery occlusion combined with retinal vasculitis associated with IgA nephropathy.

Key Words: IgA nephropathy;Retinal artery occlusion;Retinal vasculitis