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February 1991

Spontaneous Retinal Capillary Reperfusion in a Systemic Illness

Author Affiliations

New York, NY

Arch Ophthalmol. 1991;109(2):179-180. doi:10.1001/archopht.1991.01080020025016

Retinal capillary nonperfusion is a manifestation of a variety of ocular vascular occlusive diseases, either localized to the eye or related to a systemic disease. Regardless of the cause, significant reperfusion of the occluded capillary circulation is rare.1,2 We present a man with a systemic illness of unknown origin who presented with poor visual acuity in association with massive capillary nonperfusion in each eye that spontaneously resolved.

Report of a Case.  —A 23-year-old black Haitian man presented to the New York (NY) University ophthalmology service with a 2-month history of decreasing visual acuity in both eyes. He had a 5-month history of night sweats, fever at night to 39°C, weight loss (6.75 kg), fatigue, malaise, insomnia, myalgias, arthralgias, and inguinal node swelling. He had previously been in excellent health with normal visual acuity. He was an accounting student who denied intravenous drug use, homosexuality, or contact with prostitutes.On admission