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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Early treatment of idiopathic vasculitis, aneurysms and neuroretinitis (IRVAN). ...
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Vol. 89. Issue 3.
Pages 117-120 (March 2014)
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Vol. 89. Issue 3.
Pages 117-120 (March 2014)
Short communication
Early treatment of idiopathic vasculitis, aneurysms and neuroretinitis (IRVAN). A case report
Tratamiento precoz de vasculitis idiopática, aneurismas y retinitis (IRVAN). A propósito de un caso
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M. Garcia Vilaro
Corresponding author
martagvilaro@hotmail.com

Corresponding author.
, F. Bassaganyas Vilarrassa, J.I. Vela Segarra, J.A. Buil Calvo
Servicio de Oftalmología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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Abstract
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 ischemic sequelae.

Discussion

IRVAN syndrome with neovascularization 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 ischemia.

Keywords:
Vasculitis
Aneurysm
Neuroretinitis
Treatment
Laser coagulation
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 posible.

Palabras clave:
Vasculitis
Aneurismas
Neuroretinitis
Tratamiento
Panfotocoagulación

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