Spontaneous branch artery occlusion in idiopathic retinitis, vasculitis, aneurysms, and neuroretinitis syndrome despite panretinal laser photocoagulation of widespread retina nonperfusion

Terrada, C.; Dethorey, G.; Ducos, Ghislaine; LeHoang, Phuc; Bodaghi, Bahram; Souied, Eric H.

doi:10.1111/j.1755-3768.2010.01972.x

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…In patients with IRVAN syndrome, BRAO have been reported following laser photocoagulation of the aneurysms [19,20]. To the best of our knowledge, only one case of IRVAN syndrome complicated with a primary BRAO similar to our case has been previously reported [21].…”

Section: Discussionsupporting

confidence: 53%

Branch retinal artery occlusion associated with posterior uveitis

Kahloun

Mbarek

Khairallah-Ksiaa

et al. 2013

J Ophthal Inflamm Infect

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BackgroundThe purpose of this study is to report the clinical features and visual outcome of branch retinal artery occlusion (BRAO) associated with posterior uveitis. This is a retrospective study including the 18 eyes of 18 patients. All patients underwent a complete ophthalmic evaluation. Fundus photography, fluorescein angiography, and visual field testing were performed in all cases.ResultsDiseases associated with BRAO included active ocular toxoplasmosis in 7 patients, rickettsiosis in 4, Behçet’s uveitis in 2, West Nile virus infection in 1, idiopathic retinal vasculitis in 1, Crohn’s disease in 1, ocular tuberculosis in 1, and idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome in 1 patient. The mean initial visual acuity was 20/50. BRAO involved the first order retinal artery in 33.3% of the eyes, the second order retinal artery in 33.3%, an arteriole in 27.8%, and a cilioretinal artery in 5.5%. The macula was involved in 44.4% of the eyes and an acute focus of retinitis or retinochoroiditis was associated to BRAO in 55.5%. Repermeabilization of the occluded artery occurred in all patients with permanent scotomas in the corresponding visual field. The mean visual acuity at last visit was 20/32.ConclusionsBRAO, with subsequent visual impairment, may occur in the eyes with posterior uveitis. Physicians should be aware of such vision-threatening complication of infectious and inflammatory eye diseases.

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Section: Discussionsupporting

confidence: 53%

Branch retinal artery occlusion associated with posterior uveitis

Kahloun

Mbarek

Khairallah-Ksiaa

et al. 2013

J Ophthal Inflamm Infect

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“…1,2 Branch retinal artery occlusion (BRAO) has been rarely described in association with IRVAN syndrome. [3][4][5][6][7][8][9] We herein report a case of IRVAN syndrome presenting with BRAO documented with multimodal imaging, including fundus autofluorescence, optical coherence tomography (OCT), and OCT angiography (OCTA).…”

Section: Introductionmentioning

confidence: 99%

Multimodal imaging in IRVAN syndrome presenting with Branch Retinal Artery Occlusion

Zina

Ksiaa

Abdelhedi

et al. 2020

European Journal of Ophthalmology

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Purpose: To describe multimodal imaging ﬁndings in a patient with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome presenting with branch retinal artery occlusion (BRAO). Case description: A 33-year-old woman presented with acute BRAO in the right eye. A diagnosis of underlying IRVAN syndrome was made based on the presence of arteriolar aneurysms on the optic disc and along major arterioles and faint retinal hard exudates in both eyes. Eight months later, best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. The hard exudates had increased, and there were extensive areas of peripheral retinal capillary nonperfusion without new vessels. Optical coherence tomography (OCT) showed a localized retinal thinning corresponding to the prior BRAO. Fundus autofluorescence showed nodulo-linear periarterial hypoautofluorescence. OCT angiography (OCTA) showed localized ischemic changes, mainly involving the deep capillary plexus, corresponding to the area of resolved BRAO. It also clearly delineated the optic disc aneurysms. The patient received bilateral scatter laser photocoagulation directed to areas of peripheral capillary nonperfusion. Over a 6-month follow-up period, visual acuity remained unchanged, and there was no evidence of disease progression. Conclusion: Multimodal imaging, including fundus autofluorescence, OCT, and OCTA can provide additional valuable information in the evaluation of IRVAN syndrome complicated with BRAO.

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“…Idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) is often associated with retinal vascular occlusion . We identified two cases of IRVAN at the two centres during the study period with typical knot‐like aneurysms at arteriolar bifurcations.…”

Section: Discussionmentioning

confidence: 70%

“…[35][36][37] Idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) is often associated with retinal vascular occlusion. [38][39][40] We identified two cases of IRVAN at the two centres during the study period with typical knot-like aneurysms at arteriolar bifurcations. Both patients with IRVAN had presence of three major criteria (retinal vasculitis, aneurysmal dilations at arteriolar bifurcations and neuroretinitis).…”

Section: Discussionmentioning

confidence: 99%