IRVAN syndrome: A retrospective review of 9 cases from Tunisia
Purpose
To describe clinical features, relevant imaging findings, disease course, and response to treatment in 9 patients (18 eyes) with IRVAN syndrome.
Methods
A retrospective study about nine patients (18 eyes) diagnosed with IRVAN syndrome
Results
Mean age was 33.5 years (4 males and 5 females). Mean initial best-corrected visual acuity (BCVA) was 20/32. Clinical findings included peripapillary exudates in 11 eyes, partial or complete macular star in 11 eyes, multiple aneurysmal dilatations of the retinal and/or optic nerve-head arterioles in 8 eyes, and vascular sheathing in 11 eyes. Thirteen eyes had the stage 2 of the disease, 3 eyes had the stage 3 and 2 eyes had the stage 1. Treatment modalities included peripheral scatter photocoagulation (14 eyes), intravitreal bevacizumab (4 eyes), and intravitreal triamcinolone acetonide (1 eye). Final BCVA was less than or equal to 20/200 in 5 eyes.
Conclusion
IRVAN is a rare idiopathic ocular condition. Prognosis may be guarded despite treatment.
Conflict of interest
No
Authors 1
Last name
ZINA
Initials of first name(s)
S
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia
City
Monastir
Country
Tunisia
Authors 2
Last name
FEKIH
Initials of first name(s)
K
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia
City
Monastir
Country
Tunisia
Authors 3
Last name
NAMSIA
Initials of first name(s)
W
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia
City
Monastir
Country
Tunisia
Authors 4
Last name
HADJ AMOR
Initials of first name(s)
W
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia
City
Monastir
Country
Tunisia
Authors 5
Last name
ABROUG
Initials of first name(s)
N
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia
City
Monastir
Country
Tunisia
Authors 6
Last name
KHAIRALLAH
Initials of first name(s)
M
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital, University of Monastir, Tunisia
City
Monastir
Country
Tunisia
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