Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female
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, st...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-03-01
|
| Series: | Journal of Current Ophthalmology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2452232515000165 |
| _version_ | 1818408298953572352 |
|---|---|
| author | MirNaghi Moosavi Seyedeh Maryam Hosseini Nasser Shoeibi Mohammad-Reza Ansari-Astaneh |
| author_facet | MirNaghi Moosavi Seyedeh Maryam Hosseini Nasser Shoeibi Mohammad-Reza Ansari-Astaneh |
| author_sort | MirNaghi Moosavi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T09:41:31Z |
| format | Article |
| id | doaj.art-66004540a7ba4f0ca4aaa5e5ff7e2d2c |
| institution | Directory Open Access Journal |
| issn | 2452-2325 |
| language | English |
| last_indexed | 2024-12-14T09:41:31Z |
| publishDate | 2015-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Current Ophthalmology |
| spelling | doaj.art-66004540a7ba4f0ca4aaa5e5ff7e2d2c2022-12-21T23:07:46ZengWolters Kluwer Medknow PublicationsJournal of Current Ophthalmology2452-23252015-03-01271636610.1016/j.joco.2015.10.006Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young femaleMirNaghi MoosaviSeyedeh Maryam HosseiniNasser ShoeibiMohammad-Reza Ansari-AstanehPurpose: 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.http://www.sciencedirect.com/science/article/pii/S2452232515000165Idiopathic reinal vasculitis, aneurysms, and neuroretinitis syndromeIRVAN retinaUnilateral |
| spellingShingle | MirNaghi Moosavi Seyedeh Maryam Hosseini Nasser Shoeibi Mohammad-Reza Ansari-Astaneh Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female Journal of Current Ophthalmology Idiopathic reinal vasculitis, aneurysms, and neuroretinitis syndrome IRVAN retina Unilateral |
| title | Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female |
| title_full | Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female |
| title_fullStr | Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female |
| title_full_unstemmed | Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female |
| title_short | Unilateral idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome (IRVAN) in a young female |
| title_sort | unilateral idiopathic retinal vasculitis aneurysms and neuroretinitis syndrome irvan in a young female |
| topic | Idiopathic reinal vasculitis, aneurysms, and neuroretinitis syndrome IRVAN retina Unilateral |
| url | http://www.sciencedirect.com/science/article/pii/S2452232515000165 |
| work_keys_str_mv | AT mirnaghimoosavi unilateralidiopathicretinalvasculitisaneurysmsandneuroretinitissyndromeirvaninayoungfemale AT seyedehmaryamhosseini unilateralidiopathicretinalvasculitisaneurysmsandneuroretinitissyndromeirvaninayoungfemale AT nassershoeibi unilateralidiopathicretinalvasculitisaneurysmsandneuroretinitissyndromeirvaninayoungfemale AT mohammadrezaansariastaneh unilateralidiopathicretinalvasculitisaneurysmsandneuroretinitissyndromeirvaninayoungfemale |