CHOROIDAL AND RETINAL-DETACHMENT IN ANTINEUTROPHIL CYTOPLASMIC ANTIBODY-POSITIVE SCLERITIS

PURPOSE/METHODS: A 72-year old woman with antineutrophil cytoplasmic a ntibody-positive vasculitis had a combined detachment of the choroid a nd retina. This unique initial manifestation was also associated with systemic and orbital manifestations, including brow ptosis, dacryoaden itis, and pneumonitis. RESULTS/CONCLUSIONS: This patient underwent vit rectomy for removal of a dense vitreitis and responded well to systemi c cyclophosphamide. This case demonstrates that antineutrophil cytopla smic antibody testing is useful for the diagnosis and treatment of Weg ener's granulomatosis and microscopic polyarteritis-associated sclerit is. The distinction between these two entities is often difficult to m ake.