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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Curr+Ophthalmol
2015 ; 27
(1-2
): 63-6
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Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome
(IRVAN) in a young female
#MMPMID27239579
Moosavi M
; Hosseini SM
; Shoeibi N
; Ansari-Astaneh MR
J Curr Ophthalmol
2015[Mar]; 27
(1-2
): 63-6
PMID27239579
show ga
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.