Abstract
Background
We report on a patient with Graves’ disease with radiation retinopathy caused by low-dose irradiation and antithyroid drug-induced antineutrophil cytoplasmic antibody (ANCA)-positive vasculitis.
Case
A 38-year-old woman with Graves’ disease presented with bilateral blurred vision, microaneurysms, telangiectasia, and macular edema. The patient was examined by ophthalmoscopy and fluorescein angiography, and radiation retinopathy was diagnosed.
Observations
The patient had been treated with low-dose irradiation for her Graves’ ophthalmopathy a few years earlier. She also had ANCA-positive vasculitis induced by the antithyroid drug (propylthiouracil, PTU) that had been prescribed for her at that time. Because of multiple avascular areas on both retinas, she was treated by intensive retinal photocoagulation to control progressive retinopathy.
Conclusions
The radiation doses used to treat Graves’ disease ophthalmopathy are low. Nevertheless, there is still a risk of radiation retinopathy developing in patients with PTU-induced ANCA-positive vasculitis. Jpn J Ophthalmol 2005;49:261–263 © Japanese Ophthalmological Society 2005
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Sonoda, KH., Yamamoto, M. & Ishibashi, T. Radiation Retinopathy Caused by Low Dose Irradiation and Antithyroid Drug-Induced Systemic Vasculitis. Jpn J Ophthalmol 49, 261–263 (2005). https://doi.org/10.1007/s10384-004-0180-x
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DOI: https://doi.org/10.1007/s10384-004-0180-x