46 years old and presbyopic complaints, a simple and quick ophthalmologic visit?

Session Details

Session Title: Free Paper Session 16: Vascular Diseases & Diabetic Retinopathy IV

Session Date/Time: Friday 08/09/2017 | 16:30-18:00

Paper Time: 16:30

Venue: Room 114

First Author: : T.Maio PORTUGAL

Co Author(s): :    R. Bastos   R. Carvalho   C. Teixeira   P. Tenedorio   S. Penas   R. Goncalves              

Abstract Details


Idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) is a rare syndrome that affects both eyes and characteristically involves young individuals. Neovascular glaucoma is the last stage of this syndrome.


Department of Ophthalmology of Hospital Pedro Hispano, Matosinhos, Portugal.


A case report of a patient attended in the ophthalmic clinic of Pedro Hispano Hospital.


A woman, aged 46, with presbyopic complaints was referred to our Ophthalmology Department. Her medical and family history were unremarkable. Her best corrected visual acuity was 20/20 in both eyes and Jaeger 1 for near with +1.00 lens addition. Fundus examination revealed bilateral retinal vascular tortuosity, sheathing, and aneurysms at bifurcation sites. Fluorescein angiography showed peripheral retinal nonperfusion. Systemic investigation only revealed anti-thyroid peroxidase antibody positivity. She was treated with panretinal photocoagulation and keeps follow-up in Retinal Department. 2 months after the diagnosis she maintained 20/20 vision in both eyes, without macular exudation and signs of neovascularization.


Presbyopic complains took this patient to a routine ophthalmologic examination. To our knowledge this is the first case report of a diagnosis of IRVAN syndrome made in an asymptomatic patient. Initiating panretinal photocoagulation in an early stage (before the development of any neovascularization) might reduce the likelihood of neovascular glaucoma development.

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