First Author: M.J.Méndez SPAIN
Co Author(s): J. Polo Simon P. Mena Toja P. Maqueda González 0 0 0 0 0 0 0 0 0
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To document by angiography imaging supposed altered vascular patterns in a patient with fibromyalgia and visual symptoms
Hospital Nuestra Señora de la Montaña de Cáceres
Fluorescein and indocyanine green angiography was performed to a 48 year-old woman previously diagnosed of fibromyalgia who presented bilateral diminished visual acuity. A complete ophthalmological examination was undertaken including visual acuity, biomicroscopy, tonometry and funduscopy. Laboratory tests were ordered to exclude infectious diseases and sarcoidosis. The patient answered the Nussenblatt Uveítis Questionnaire.
Laboratory tests for systemic illnesses were negative. No signs of intraocular inflammation were detected. The Uveítis Questionnaire disclosed the existence of migraine and Raynaud's phenomenon. The retinal angiography showed narrowed retinal arterioles and areas or retinal ischemia. The indocyanine green angiography showed areas of choroidal vascular remodelling and ischemia.
The findings we report here could support de hypotheses of a vascular end organ dysfunction in fibromyalgia. To our knowledge these are the first documented images of supposed altered vascular patterns in end organs in fibromyalgia.