Цитата:
Сообщение от ainakoz
TДиагноза нет. Наиболее весомый до сих пор в обоих случаях считаю IRVAN.
Помогите пожалуйста. Адекватен хоть ход мыслей? Имеет право на истину?
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Патология весьма редкая. Ход мыслей правильный. По-видимому, все это действительно близко к тому, что описывают при IRVAN.
Early Treatment for Idiopathic Retinitis, Vasculitis, Aneurysms and Neuroretinitis
August's American Journal of Ophthalmology
A review of the largest cohort of patients with idiopathic retinitis, vasculitis, aneurysms and neuro-retinitis (IRVAN) by Samuel et al. indicates that early panretinal laser photocoagulation should be considered when angiographic evidence of widespread retinal nonperfusion is evident, and prior to, or shortly after, neovascularization has developed.
They also propose a functional staging system to optimize treatment. They conducted a review of 10 patients originally reported in 1995, and then followed up on seven of them while adding 12 additional patients.
The investigators found that all of the eyes treated in the second stage of their staging system maintained 20/20 vision, and none of these eyes progressed to a more advanced stage of the disease. Eyes treated in later stages lost visual acuity, and some progressed to neovascularization or neovascular glaucoma despite aggressive treatment with panretinal laser photocoagulation and vitrectomy.
The authors conclude that the visual prognosis in IRVAN may depend on early treatment for ischemic retinal disease.
Удалось найти картину ФАГ при IRVAN. Правда качество оставляет желать лучшего.