First Author: M.Khadidja ALGERIA
Co Author(s): I. Aicha D. Amine S. Bouchra N. Souad
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To describe a clinical case of idiopathic retinal vasculitis aneurysms and neuroretinitis (IRVAN syndrome)
work carried out at departement of ophtalmology Hammou boutlelis clinic of ophtalmology -Oran-Algeria
A 35 year old woman with a healthy systemic evaluation revealed no history of bowel, respiratory or skin disorder, she had not travelled recently to the tropics, did not smoke and had no family history included inflammation, vascular, or ophtalmological disease, she was referred to our service for progressive best corrected visual acuity (BVCA) loss, memorphopsia and central scotoma for the past two months in the right eye
On examination, the BVCA WAS 6/10, papillary reaction, intraocular pressure (IOP) were normal on the right eye. Fundus exam showed no cells seen in the vitreous, multiple aneurysmal dilatation of the arterioles and hard exudates and macular hematoma, fluorescein angiogram confirmed areas of no perfusion in the temporal periphery and aneurysmal dilatation of the arteriols, in optical coherence tomography of the macular showing intraretinal and subretinal fluid associated retinal pigment epithelial detachement, no abnormalities on the left eye. No treatment was initiated, the patient was observed and her exam remained stable at the 5 month follow up visit and complete resorption of the hematoma with BVCA improved to 8/10 in the right eye.
IRVAN syndrome maybe spontaneously resolutive, in this case a follow up maybe proposed before starting an aggressive therapy.