Pseudovasculitis Associated With Vitreoretinal Traction

In Brief Purpose The purpose of this study was to report a case of vitreoretinal traction masqueraded as retinal vasculitis. Methods An 81-year-old woman with exudative age-related macular degeneration was treated with intravitreal injections of ranibizumab. During routine follow-up, angiographic evidence of focal, segmental, retinal vasculitis, involving both arteries and veins, was noticed in the fellow eye. Clinical examination revealed no sign of ocular inflammation in either eye. Results Spectralis optical coherence tomography revealed partial posterior vitreous detachment with multiple areas of persisting vitreoretinal adhesion. Focal vasculitis on fluorescein angiography showed absolute correspondence with sites of vitreoretinal traction on optical coherence tomography. Patient was managed by observation and 6 months later, despite persisting fluorescein leak, she was still asymptomatic with no evidence of anterior chamber or vitreous activity. Conclusion This is an exceptional case of pseudovasculitis associated with mechanical traction, representing a variant of vitreomacular traction syndrome. Clinicians should be aware of this unusual manifestation, which may mimic true vasculitis associated with uveitis. Retinal vascular leakage in an 81-year-old woman noticed during routine fluorescein angiography for age-related macular degeneration assessment. Spectralis optical coherence tomography revealed presence of partial posterior vitreous detachment. There was absolute correspondence between areas of focal vasculitis and sites of persisting vitreoretinal adhesion