Choroidal involvement in systemic necrotizing vasculitis
J. L. Kinyoun, R. E. Kalina and M. L. Klein
Wegener's granulomatosis and lymphomatosis are systemic necrotizing
vasculitides of unknown cause. We report similar involvement of the
choriocapillaris in these two diseases. A presumed choriocapillaritis
caused ischemia and infarction of the choriocapillaris-retinal pigment
epithelium-outer neurosensory retina complex. Systemic corticosteroid and
immunosuppressive agents were successful in controlling systemic disease
and preserving useful vision. At the time of this study, one patient had
not had a recurrence for 12 years, and the other patient had been
asymptomatic for seven years.
