Acute Idiopathic Hemorrhagic Retinal Vasculitis: Clinical Course and Treatment
Purpose
To report clinical characteristics and treatment of acute idiopathic hemorrhagic retinal vasculitis (AIHRV)
Methods
Records of 10 patients (7 female, 3 male) with AIHRV in 12 eyes seen between 2012-2018 were reviewed.
Results
Mean age at presentation was 32±5 years. Mean LogMAR visual acuity (VA) was 1.5±0.8, mean intraocular pressure (IOP) was 10.8±3.3, mean flare value was 152.6±237.8ph/ms, mean central macular thickness (CMT) was 709.5±266.3 at presentation. All patients had extensive preretinal and/or subretinal hemorrhages and vascular sheathing. Fluorescein angiography was performed in 7 patients, showing retinal ischemia in 6 and neovascularization in 2 eyes. Serological tests, hematologic and rheumatologic examination were unrewarding in all. Mean follow-up was 13.5±9.9 months. 9 patients received systemic corticosteroids. Adjunct local corticosteroids and/or intravitreal anti-VEGF injections were performed when needed. 2 patients with macular edema received Interferon alpha-2a, 2 patients received empirical oral valacyclovir and 1 patient received azathioprine. Retinal laser photocoagulation was performed in 8 eyes. Ocular complications were vitreous hemorrhage in 2 and increased IOP in 8 patients, including 2 with neovascular glaucoma. At final visit, mean LogMAR VA was 0.8±0.8, mean IOP was 15.9±3.8, mean flare was 22.8±30.9ph/ms, mean CMT was 272.7±70.8.
Conclusion
AIHRV is a challenging condition with unknown etiology and there is no specific treatment. Close follow-up is required for early detection and treatment of ocular complications.
Conflict of interest
No
Authors 1
Last name
AKSU CEYLAN
Initials of first name(s)
N
Department
Ophthalmology
City
Istanbul
Country
Turkey
Authors 2
Last name
Ergul
Initials of first name(s)
E
Department
Ophthalmology
City
Istanbul
Country
Turkey
Authors 3
Last name
Oray
Initials of first name(s)
M
Department
Ophthalmology
City
Istanbul
Country
Turkey
Authors 4
Last name
Tugal Tutkun
Initials of first name(s)
I
Department
Ophthalmology
City
Istanbul
Country
Turkey
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