Further observations on a bilateral IRVAN syndrome case
Purpose: Reporting clinical features of the late course of the disease after long-term follow-up in a bilaterally affected patient with idiopathic retinitis, vasculitis, retinal aneurysms and neuroretinitis (IRVAN) and new peripheral retinal findings on wide-field angiography and multimodal imaging....
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2019
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22164
- Acceso en línea:
- https://doi.org/10.1007/s10792-018-0917-z
https://repository.urosario.edu.co/handle/10336/22164
- Palabra clave:
- Adult
Article
Biomicroscopy
Case report
Central scotoma
Clinical article
Divergent strabismus
Epithelium hyperplasia
Female
Follow up
Human
Intraocular pressure
Irvan syndrome
Laser coagulation
Observational study
Ophthalmoscopy
Optic disk
Optical coherence tomography
Retina disease
Retina fluorescein angiography
Retina fovea
Retina neovascularization
Retrospective study
Uveitis
Visual acuity
Vitritis
Young adult
Aneurysm
Complication
Eye fundus
Fluorescence angiography
Procedures
Retina artery
Retina vasculitis
Retinitis
Syndrome
Visual acuity
Aneurysm
Female
Fluorescein angiography
Fundus oculi
Humans
Laser coagulation
Retinal artery
Retinal vasculitis
Retinitis
Retrospective studies
Syndrome
Visual acuity
Young adult
Neuroretinitis
Retinal aneurysms
Uveitis
Vasculitis
Wide-field angiography
optical coherence
Tomography
- Rights
- License
- Abierto (Texto Completo)
Summary: | Purpose: Reporting clinical features of the late course of the disease after long-term follow-up in a bilaterally affected patient with idiopathic retinitis, vasculitis, retinal aneurysms and neuroretinitis (IRVAN) and new peripheral retinal findings on wide-field angiography and multimodal imaging. Methods: This was a retrospective observational study, based on current diagnostic studies including wide-field fluorescein angiography, optical coherence tomography (OCT) and treatment of aneurysms with argon laser photocoagulation. Results: A 21-year-old female with bilateral IRVAN syndrome—stage 2 in the right eye and stage 3 in the left eye—previously treated bilaterally with laser photocoagulation for retinal macroaneurysms and ischemic areas between 1985 and 1992. Follow-up interrupted on two occasions, with subsequent fundus re-examinations confirming the prevention of retinal neovascularization in both eyes, as recently evidenced on wide-field angiography. Conclusions: A case of bilateral IRVAN disease with multiple retinal aneurysms, neuroretinitis and peripheral capillary nonperfusion successfully treated with laser photocoagulation, maintaining normal visual acuity in one eye and preventing retinal neovascular complications. © 2018, Springer Science+Business Media B.V., part of Springer Nature. |
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