Abstract
Purpose
To report a case of resolution of retinal arterial aneurysms in a patient of idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) treated with oral steroids.
Methods
This study contains case report and review of literature.
Results
A 16-year-old girl with stage 2 IRVAN was treated with oral steroids alone. Fluorescein angiography confirmed the presence of aneurysms and absence of neovascularization in both eyes. The aneurysms resolved gradually over 4-month follow-up.
Conclusions
This case demonstrates previously unreported reversibility of arterial aneurysms with steroid therapy alone in early stages of IRVAN.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chang TS, Aylward GW, Davis JL, Mieler WF, Oliver GL, Maberley AL et al (1995) Idiopathic retinal vasculitis, aneurysms, and neuro-retinitis. Retinal vasculitis study. Ophthalmology 102:1089–1097
Samuel MA, Equi RA, Chang TS, Mieler W, Jampol LM, Hay D et al (2007) Idiopathic retinitis, vasculitis, aneurysms, and neuroretinitis (IRVAN): new observations and a proposed staging system. Ophthalmology 114:1526–1529
Yeshurun I, Recillas-Gispert C, Navarro-Lopez P, Arellanes-Garcia L, Cervantes-Coste G (2003) Extensive dynamics in location, shape, and size of aneurysms in a patient with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis. Am J Ophthalmol 135:118–120
Sashihara H, Hayashi H, Oshima K (1999) Regression of retinal arterial aneurysms in a case of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN). Retina 19:250–251
Abu El-Asrar AM, Jestaneiah S, Al-Serhani AM (2004) Regression of aneurysmal dilatations in a case of idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) associated with allergic fungal sinusitis. Eye Lond Engl 18:197–201
Singh R, Sharma K, Agarwal A, Dogra M, Gupta V, Sharma A et al (2016) Vanishing retinal arterial aneurysms with anti-tubercular treatment in a patient presenting with idiopathic retinal vasculitis, aneurysms, and neuroretinitis. J Ophthalmic Inflamm Infect 6:8
Owens SL, Gregor ZJ (1992) Vanishing retinal arterial aneurysms: a case report. Br J Ophthalmol 6:637–638
Tomita M, Matsubara T, Yamada H, Takahashi K, Nishimura T, Sho K et al (2004) Long term follow up in a case of successfully treated idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN). Br J Ophthalmol 88:302–303
Author information
Authors and Affiliations
Contributions
Devesh Kumawat involved in acquisition, analysis and interpretation of data; drafting the work; final approval of the version; and agreement to be accountable for all aspects of work. Vinod Kumar gave substantial contributions to the conception/design of work and took part in acquisition, analysis and interpretation of data; drafting the work; final approval of the version; and agreement to be accountable for all aspects of work.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
For this type of study, formal consent is not required.
Informed consent
Informed consent was obtained from the participant included in the study.
Rights and permissions
About this article
Cite this article
Kumawat, D., Kumar, V. Resolution of arterial aneurysms in idiopathic retinal vasculitis, aneurysms and neuroretinitis: a case report and review of literature. Int Ophthalmol 39, 1155–1161 (2019). https://doi.org/10.1007/s10792-018-0913-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-018-0913-3