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OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 8  |  Page : 1195

Idiopathic retinal vasculitis, aneurysms, and neuroretinitis


Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication23-Jul-2018

Correspondence Address:
Dr. Reema Bansal
Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_49_18

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How to cite this article:
Menia NK, Kiran S, Bansal R. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis. Indian J Ophthalmol 2018;66:1195

How to cite this URL:
Menia NK, Kiran S, Bansal R. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis. Indian J Ophthalmol [serial online] 2018 [cited 2020 May 26];66:1195. Available from: http://www.ijo.in/text.asp?2018/66/8/1195/237338



A 21-year-old male with decreased vision (4/60 both eyes) for 3 months presented with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) as seen by disc edema, vascular sheathing, and exudates in macula and around the disc [Figure 1]a and [Figure 1]b, with aneurysmal dilatations on optic nerve head and retinal arterioles at or near their bifurcations on ultra-widefield fluorescein angiography [Figure 1]c and [Figure 1]d.[1],[2],[3],[4],[5] Laboratory workup was normal. Three months following oral prednisolone, both eyes' macular edema decreased with two-line visual improvement. Although an isolated retinal vascular disease, IRVAN can cause severe visual loss due to neovascular sequelae.[1],[2],[3],[4],[5]
Figure 1: Ultra-widefield fundus photograph showing disc edema, vascular sheathing, and exudates in macula and around the disc in the right (a) and left (b) eyes. Ultra-widefield fundus fluorescein angiography confirmed aneurysmal dilatations on the optic nerve head and retinal arterioles at or near their major branching sites in both eyes (c and d)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's mother has given the consent for his images and other clinical information to be reported in the journal. The patient's mother understands that his name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Samuel MA, Equi RA, Chang TS, Mieler W, Jampol LM, Hay D, et al. Idiopathic retinitis, vasculitis, aneurysms, and neuroretinitis (IRVAN): New observations and a proposed staging system. Ophthalmology 2007;114:1526-90.e1.  Back to cited text no. 1
    
2.
Pichi F, Ciardella AP. Imaging in the diagnosis and management of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN). Int Ophthalmol Clin 2012;52:275-82.  Back to cited text no. 2
    
3.
Rouvas A, Nikita E, Markomichelakis N, Theodossiadis P, Pharmakakis N. Idiopathic retinal vasculitis, arteriolar macroaneurysms and neuroretinitis: Clinical course and treatment. J Ophthalmic Inflamm Infect 2013;3:21.  Back to cited text no. 3
    
4.
Chang TS, Aylward GW, Davis JL, Mieler WF, Oliver GL, Maberley AL, et al. Idiopathic retinal vasculitis, aneurysms, and neuro-retinitis. Retinal vasculitis study. Ophthalmology 1995;102:1089-97.  Back to cited text no. 4
    
5.
Venkatesh P, Verghese M, Davde M, Garg S. Primary vascular occlusion in IRVAN (idiopathic retinal vasculitis, aneurysms, neuroretinitis) syndrome. Ocul Immunol Inflamm 2006;14:195-6.  Back to cited text no. 5
    


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