多模态影像显示了irvan综合征的典型特征

Ophthalmology Cases & Hypotheses Pub Date : 2021-03-12 DOI:10.30546/2788-516x.2021.2.1.5

Od Faao Hashim Ali Khan, Muhammad Aamir Shahzad, M. Awan

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引用次数: 0

摘要

目的:本研究的目的是描述一名32岁男性的视网膜血管炎、动脉瘤和神经视网膜炎(IRVAN)综合征。方法:Casereport。病例报告:一名32岁男性，表现为急性视力障碍。多模态成像显示视网膜血管炎、动脉瘤、神经视网膜炎、玻璃体炎症、视网膜缺血和视网膜下膜，光学酒精血管造影(OCTA)显示双眼多发微动脉瘤。结论:眼底荧光血管造影(FFA)可检测视网膜动脉瘤和视网膜病变，多模态成像有助于诊断和鉴别视网膜病变。然而，OCTA显示多个微动脉瘤，由于玻璃体炎症和血管渗漏，无法通过ffa清晰区分。微动脉瘤在irvan综合征区域以前未见报道。OCTAmayhelpdetectthesechangeswithaccuratedetails

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A TYPICAL FEATURES IN IRVAN SYNDROME DEMONSTRATED ON MULTIMODAL IMAGING

Purpose:Thepurposeofthis workwastodescribeidiopathicretinalvasculitis,aneurysms,andneuroretinitis(IRVAN)syndrome ina32-year-oldmale.Methods: Casereport.Case report: A 32-year-old male presented with acute visualdisturbance. Multimodal imaging revealed retinal vasculitis,aneurysmsandneuroretinitisinadditiontovitreousinflammation,retinalischemiaandepiretinalmembrane.Opticalcoherencetomographyangiography(OCTA)demonstratedmultiplemicroaneurysm inbotheyes.Conclusion: Multimodal imaging was helpful in diagnosinganddifferentiatingIRVANsyndromefromothersimilar-lookingclinicalentities.Retinalaneurysmsandretinalischaemiaweredetectablebyfundusfluoresceinangiography(FFA). However, OCTA showed multiple microaneurysmsthatwerenotclearlydifferentiablebyFFAbecauseofvitreousinflammationandvascularleakage.MicroaneurysmsinIRVAN syndrome area previously unreportedobservation.OCTAmayhelpdetectthesechangeswithaccuratedetails

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Ophthalmology Cases & Hypotheses

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