• Wegener's granulomatosis and lymphomatoid granulomatosis 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.
Kinyoun JL, Kalina RE, Klein ML. Choroidal Involvement in Systemic Necrotizing Vasculitis. Arch Ophthalmol. 1987;105(7):939-942. doi:10.1001/archopht.1987.01060070075032