Navegando por Palavras-chave "Retinal vasculitis"
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- ItemAcesso aberto (Open Access)Retinite idiopática, vasculite, aneurismas e neurorretinite (IRVAN): relato de caso(Conselho Brasileiro de Oftalmologia, 2012-04-01) Rodrigues, Kelly Fernandes de Paula [UNIFESP]; Lima, Verônica Castro [UNIFESP]; Arantes, Tiago Eugênio Faria e [UNIFESP]; Matos, Kimble Teixeira Fonseca [UNIFESP]; Muccioli, Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)A case of a 14 year-old boy that was admitted complaining of bilateral ocular visual blurring for 2 years is reported. The ophthalmological examination disclosed bilateral mild optic disc hyperemia and swelling, retinal exudation, few retinal hemorrhages, multiple aneurysms, as well as vasculitis. Fluorescein angiography showed extensive peripheral retinal ischemia, dilatations and hyperfluorescence of the vessels walls, and leakage of the optic disc in the late phases in both eyes. This rare case represents an entity characterized by peripheral retinal vascular occlusion, retinal vasculitis, multiple posterior retinal aneurysms, and neuroretinitis (IRVAN). Systemic evaluation and laboratory work-up did not suggest any systemic abnormality. Panretinal laser photocoagulation was performed in both eyes, and the patient was treated with oral prednisone with maintenance of the visual acuity after 1 year of follow-up. Laser treatment should be considered when angiographic evidence of widespread retinal no perfusion is present, and before the development of signs of retinal neovascularization.
- ItemAcesso aberto (Open Access)Triancinolona intravítrea em vasculite retiniana: relato de caso(Conselho Brasileiro de Oftalmologia, 2004-12-01) Godoy, Glaucio De [UNIFESP]; Finamor, Luciana Peixoto [UNIFESP]; Andrade, Rafael [UNIFESP]; Muccioli, Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The authors present a case of a patient with the diagnosis of primary retinal vasculitis treated with intravitreal injection of triamcinolone, which determined improvement of inflammation and visual acuity. An improvement of iris and optic nerve head neovascularization was also observed, however, a macular traction developed after the injection, which determined a decrease in visual acuity. The authors also discuss the effects of triamcinolone on inflammation as well as the side effects observed in this patient.