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مقاله
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Abstract
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Title:
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Unilateral idiopathic retinal vasculitis , aneurysms and neuroretinitis syndrome (IRVAN)
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Author(s):
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Nasser Shoeibi , Seyedeh Maryam Hosseini ,Mohamma-dreza Ansari-Astaneh
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Presentation Type:
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Poster
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Subject:
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Posterior Segment
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Others:
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Presenting Author:
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Name:
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Seyedeh Maryam Hosseini
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Affiliation :(optional)
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Retina Research Center of Mashhad University of Medical Sciences, Khatam-al-anbia Eye Hospital
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E mail:
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m_ansariastaneh@yahoo.com
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Phone:
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0511-8940173
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Mobile:
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00989153222665
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Purpose:
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To report a case of unilateral IRVAN syndrome in a young female.
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Methods:
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A 21-year-old woman presented with unilateral visual acuity loss. Ophthalmiclogical 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. Fluorescein angiography showed dilatations and hyperfluorescence of the vessels walls and leakage of the optic disc in the late phases in the right eye. Systemic evaluation and laboratory work-up did not suggest any systemic abnormality. Anterior chamber PCR results were negative for CMV, TB, HSV and VZV infections. The patient was treated with a short course of oral steroid therapy, a trans-septal triamcinolon injection and selective laser photocoagulation in peripheral non-perfusion areas.
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Results:
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After treatment, the visual acuity increased from 3/10 to 5/10 and central macular thickness (CMT) decreased during the six- month follow up. However, after treatment cessation, VA dropped with increasing CMT.
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Conclusion:
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IRVAN syndrome can have unilateral presentation. Response to steroid therapy and photocoagulation was temporary in our case. The effect of oral steroid in IRVAN will need further evaluation.
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Attachment:
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