Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female

Moosavi, M. and Hosseini, S. M. and Shoeibi, N. and Ansari-Astaneh, M. R. (2015) Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female. Journal of Current Ophthalmology, 27 (1-2). pp. 63-66.

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Abstract

Purpose: To report a case of Idiopathic retinal vasculitis, arteriolar macroaneurysms, and neuroretinitis (IRVAN). syndrome in a young female. Case report: A 21-year-old woman presented with unilateral visual acuity (VA) loss. Ophthalmological examination disclosed unilateral optic disc swelling, star-shaped macular exudation, multiple aneurysms surrounded by perivascular exudation, retinal vasculitis, and mild vitreous reaction. The left eye examination was entirely normal. Clinical and paraclinical findings were compatible with IRVAN syndrome criteria. The patient was treated with a short course of oral steroid, a trans-septal triamcinolone acetonide injection, selective laser photocoagulation in peripheral non-perfusion areas, and intravitreal bevacizumab. In spite of primary good response, after each treatment cessation, VA dropped with increasing central macular thickness (CMT), but response to intravitreal triamcinolone (4 mg/0.1 cc) was permanent and good. Conclusion: IRVAN syndrome can have unilateral presentation. All treatment options were temporary except intravitreal steroid injection in our case. The effect of steroid in IRVAN will need further evaluation. © 2015 Iranian Society of Ophthalmology.

Item Type: Article
Additional Information: Cited By :5 Export Date: 16 February 2020 Correspondence Address: Hosseini, S.M.; Khatam-al-Anbia Eye Hospital, Ghareni BLVDIran; email: Smaryamhosseini@yahoo.com
Uncontrolled Keywords: Idiopathic reinal vasculitis, aneurysms, and neuroretinitis syndrome IRVAN retina Unilateral steroid triamcinolone triamcinolone acetonide adult aneurysm anterior eye segment Article case report central macular thickness female follow up human idiopathic retinal vasculitis aneurysm and neuroretinitis syndrome laser coagulation papilledema posterior eye segment retina fluorescein angiography retina maculopathy retina vasculitis retinitis slit lamp spectral domain optical coherence tomography treatment response visual acuity visual impairment vitreous body young adult
Subjects: WW Ophthalmology
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib5 lib5
Date Deposited: 15 May 2020 21:54
Last Modified: 15 May 2020 21:54
URI: http://eprints.mums.ac.ir/id/eprint/18990

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