Frosted branch angiitis in a case of chronic kidney disease

Abstract

A 35-year-old man with history of chronic kidney disease and on dialysis thrice weekly presented at Sankara Eye Hospital, Guntur, with sudden-onset decrease of vision in both eyes. On examination, vision in the right eye was counting fingers; best-corrected visual acuity in the left eye was 6/9. The anterior segment was grossly normal. Fundus examination of the right eye revealed a pale, edematous retina, with extensive subretinal fluid in the macula and panretinal florid perivascular sheathing and hemorrhages, with the appearance of frosted branch angiitis. The fundus of the left eye had flame-shaped hemorrhages and hard exudates along arcades as well as segmentation of blood flow in the inferior branch retinal vein. We made a provisional diagnosis of secondary frosted branch angiitis in the right eye and hypertensive retinopathy in the left eye.