The course of retinal vasculitis.
Br J Ophthalmol
; 98(6): 785-9, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24511084
ABSTRACT
AIMS:
To determine if characteristics of retinal vasculitis correlate with ocular complications, or the response to different lines of treatment. MATERIALS ANDMETHODS:
We performed a computerised database analysis of 56 patients evaluated for uveitis at the Casey Eye Institute from September 1985 until May 2010. All patients had non-infectious retinal vasculitis and at least 1â year of follow-up.RESULTS:
Although occlusive vasculitis was rare, retinal neovascularisation occurred much more commonly in the occlusive vasculitis subgroup than among the non-occlusive vasculitis subgroup (p<0.01). Epiretinal membrane (ERM) was found more commonly in the retinal vasculitis patients who presented with cotton wool spots and intraretinal haemorrhage compared to retinal vasculitis patients who presented with sheathing noted on clinical examination (p<0.01). Smoking was significantly related to vision loss. Age at presentation below 40â years correlated with therapy beyond oral corticosteroidsCONCLUSIONS:
The heterogeneity of retinal vasculitis should be considered in providing prognostic information. Neovascularisation occurs more commonly in occlusive retinal vasculitis, and ERM is diagnosed more frequently in conjunction with cotton wool spots and intraretinal haemorrhage rather than just vascular sheathing. Cigarette use predicts visual loss and patients who are relatively young often receive treatment beyond oral corticosteroids.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hemorragia Retiniana
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Neovascularização Retiniana
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Membrana Epirretiniana
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Vasculite Retiniana
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Adolescent
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Adult
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Aged
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Child
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Child, preschool
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Br J Ophthalmol
Ano de publicação:
2014
Tipo de documento:
Article