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Retinal vasculitis

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caption	Retinal artery (at center)

Retinal vasculitis is inflammation of the vascular branches of the retinal artery, caused either by primary ocular disease processes, or as a specific presentation of any systemic form of vasculitis such as Behçet's disease, sarcoidosis, multiple sclerosis, or any form of systemic necrotizing vasculitis such as temporal arteritis, polyarteritis nodosa, and granulomatosis with polyangiitis, or due to lupus erythematosus, or rheumatoid arthritis. Eales disease, pars planitis, birdshot retinochoroidopathy (autoimmune bilateral posterior uveitis), and Fuchs heterochromic iridocyclitis (FHI) can also cause retinal vasculitis.

Symptoms

Retinal vasculitis presents as painless, decrease of visual acuity (blurry vision), visual floaters, scotomas (dark spot in vision), decreased ability to distinguish colors, and metamorphopsia (distortion of images such as linear images).

Diseases associated with retinal vasculitis

Behçet's disease
Common Variable Immune Deficiency
Eales disease
Granulomatosis with polyangiitis
Idiopathic Retinal Vasculitis Aneurysms and Neuroretinitis
Lupus erythematosus
Multiple sclerosis
Polyarteritis nodosa
Q fever
Rheumatoid arthritis
Sarcoidosis
Temporal arteritis

Diagnosis

Retinal vasculitis is very rare as the only presenting symptom. Often, there is sufficient systemic evidence to help the physician decide between any one of the aforementioned possible systemic diseases. For those patients who present with only vasculitis of the retinal vessels, great investigative effort (Chest X-ray, blood test, urinary analysis, vascular biopsy, ophthalmology assessment, etc.) should be undertaken to ensure that a systemic disease is not the hidden culprit.

Findings

Ophthalmic examination may reveal neovascularization (creation of new vessels in the retina), retinal vessel narrowing, retinal vessel cuffing, retinal hemorrhage, or possible vitritis (inflammation of the vitreous body) or choroiditis (inflammation of the choroid).

Treatment

Intravitreal administration of corticosteroid and immunosuppressants in a case non infectious retinal vasculitis

Antimicrobial therapy is required in the case of infectious retinal vasculitis

Sources

References

Lynn K. Gordon, M.D., Ph.D.. (January 2003). "Retinal Vasculitis". American Uveitis Society.
(2009). "Medical Knowledge Self-Assessment Program (MKSAP-15): Rheumatology". ACP (American College of Physicians).
(September 2019). "Bilateral methamphetamine-induced ischemic retinopathy". American Journal of Ophthalmology Case Reports.
J. C. van Meurs, S. Lightman, P. W. T. De Waard et al., "Retinal vasculitis occurring with common variable immunodeficiency syndrome," American Journal of Ophthalmology, vol. 129, no. 2, pp. 269–270, 2000.

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

rheumatology inflammations vascular-related-cutaneous-conditions

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