Tratamiento precoz de vasculitis idiopática, aneurismas y retinitis (IRVAN). A propósito de un caso / Early treatment of idiopathic vasculitis, aneurysms and neuroretinitis (IRVAN). A case report
Arch. Soc. Esp. Oftalmol
; 89(3): 117-120, mar. 2014. ilus
Article
in Spanish
| IBECS
| ID: ibc-120928
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
CASO CLÍNICO Se presenta el caso de una mujer de 55 años con vasculitis retiniana, aneurismas arteriales múltiples en el polo posterior, exudación macular e hipoperfusión periférica bilateral (IRVAN) tratada precozmente con panfotocoagulación periférica. Tras 3 años de seguimiento la agudeza visual permanece estable y no hay progresión de la isquemia. DISCUSIÓN:
El síndrome de IRVAN con neovascularización es difícil de controlar y el riesgo de progresión a glaucoma neovascular, a pesar del tratamiento, es alto. La panfotocoagulación en estadios iniciales es eficaz para controlar la isquemia y debe realizarse lo antes posibleABSTRACT
CASE REPORT A 55 year old woman presented with retinal vasculitis, multiple aneurysms, macular exudation and widespread retinal nonperfusion and was diagnosed with IRVAN. She was treated with panretinal laser photocoagulation. After 3 years of follow up visual acuity remains stable and there are no complications due to ischaemic sequelae. DISCUSSION:
IRVAN syndrome with neovascularisation can progress rapidly despite laser treatment. Panretinal laser photocoagulation has to be considered in the early stages as it is effective in stopping the progression of ischaemia
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Retinitis
/
Angioplasty, Laser
/
Retinal Vasculitis
/
Aneurysm
/
Light Coagulation
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Arch. Soc. Esp. Oftalmol
Year:
2014
Document type:
Article
Institution/Affiliation country:
Hospital de la Santa Creu i Sant Pau/España