|Year : 2018 | Volume
| Issue : 8 | Page : 1195
Idiopathic retinal vasculitis, aneurysms, and neuroretinitis
Nitin Kumar Menia, Swati Kiran, Reema Bansal
Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
|Date of Web Publication||23-Jul-2018|
Dr. Reema Bansal
Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
|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 2023 Feb 2];66:1195. Available from: https://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.,,,, 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.,,,,
|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 The patient's mother understands that his name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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.
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.
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.
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.
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.