Abstract:Figure 3 The tied-knot-like sacculations were better visualized with indocyanine green angiography because of the lack of dye leakage with this method.Correspondence
“…4 Based on the findings of exudative retinopathy, arterial macroanuerysms, nonperfusion of peripheral capillaries, diffuse staining of the optic nerve head in late fundus fluorescein angiography (neuroretinitis), and mild uveitis, diagnosis of IRVAN syndrome was made in this healthy young man. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome affects the retinal and optic disk vasculature and also the choroidal circulation in some cases.…”
Primary branch retinal artery occlusion can be an atypical presentation of idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome. Such a case should be thoroughly investigated for underlying hypercoagulable state. Also, a careful long-term follow-up is required for these patients to prevent any neovascularization sequelae.
“…4 Based on the findings of exudative retinopathy, arterial macroanuerysms, nonperfusion of peripheral capillaries, diffuse staining of the optic nerve head in late fundus fluorescein angiography (neuroretinitis), and mild uveitis, diagnosis of IRVAN syndrome was made in this healthy young man. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome affects the retinal and optic disk vasculature and also the choroidal circulation in some cases.…”
Primary branch retinal artery occlusion can be an atypical presentation of idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome. Such a case should be thoroughly investigated for underlying hypercoagulable state. Also, a careful long-term follow-up is required for these patients to prevent any neovascularization sequelae.
“…These options include medical treatment, laser photocoagulation and vitreoretinal surgery, or a combination of them [2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16]. …”
Section: Discussionmentioning
confidence: 99%
“…PRP is often effective, especially in disease stages 2 and 3 [5, 6, 7, 12]. The role of immunosuppressives or immunomodulatory treatment remains uncertain [2].…”
The idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) syndrome is a disease characterized by multiple retinal macroaneurysms, neuroretinitis and peripheral capillary nonperfusion. Visual loss may result from either ischemia-related complications or macular involvement. Treatment is not always rewarding. We report a case with stage 2 IRVAN syndrome who was successfully treated with a single bilateral intravitreal dexamethasone implant in addition to panretinal photocoagulation and systemic azathioprine treatment.
“…Although the best therapy has not yet been established, RP seems to be the most suitable option to control the disease and to prevent its progression [1, 2, 3]. Other treatments have been reported with variable results such as corticosteroids [1, 2, 3], pars plana vitrectomy [2, 5], anti-TNF alpha agents [6], antiangiogenic drugs [7, 8] or the direct application of laser on aneurysms [9]. …”
The idiopathic retinitis, vasculitis, aneurysms and neuroretinitis syndrome is a rare retinal vascular disorder characterized by multiple leaking aneurysmal dilations, retinal vasculitis, neuroretinitis and peripheral vascular ischemia. Visual loss mainly occurs due to the development of retinal neovascularization and/or exudative maculopathy. Although the treatment of choice has not yet been established, retinal photocoagulation seems to be the best option to control the disease and to prevent its progression. Herein, we report a case of idiopathic retinitis, vasculitis, aneurysms and neuroretinitis syndrome with both retinal neovascularization and macular exudation successfully managed with intravitreal ranibizumab (Lucentis®) as adjunctive therapy to retinal photocoagulation.
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