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Questions and Answers
What is the primary cause of retinal vasculitis?
What is the primary cause of retinal vasculitis?
Which symptom is NOT associated with retinal vasculitis?
Which symptom is NOT associated with retinal vasculitis?
Which condition is commonly associated with retinal vasculitis?
Which condition is commonly associated with retinal vasculitis?
How is the diagnosis of retinal vasculitis typically approached?
How is the diagnosis of retinal vasculitis typically approached?
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What is one of the treatment options for non-infectious retinal vasculitis?
What is one of the treatment options for non-infectious retinal vasculitis?
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Study Notes
Overview of Retinal Vasculitis
- Inflammation of retinal artery vascular branches can stem from primary ocular diseases or systemic vasculitis.
- Associated systemic conditions include Behçet's disease, sarcoidosis, multiple sclerosis, temporal arteritis, and granulomatosis with polyangiitis.
Symptoms of Retinal Vasculitis
- Painless decrease in visual acuity leading to blurry vision.
- Presence of visual floaters.
- Development of scotomas, resulting in dark spots in vision.
- Difficulty distinguishing colors.
- Metamorphopsia, causing distorted linear images.
Associated Diseases
- Behçet's disease
- Common Variable Immune Deficiency
- Eales disease
- Granulomatosis with polyangiitis
- Idiopathic Retinal Vasculitis with Aneurysms
- Neuroretinitis
- Lupus erythematosus
Diagnosis
- Rarely presents solely as retinal vasculitis; systemic evidence often aids diagnosis.
- Important diagnostic procedures include chest X-ray, blood tests, urinalysis, vascular biopsy, and ophthalmic assessments to rule out hidden systemic diseases.
Findings from Ophthalmic Examination
- Possible neovascularization indicating new blood vessel growth in the retina.
- Retinal vessel narrowing and cuffing may be evident.
- Potential retinal hemorrhage observed.
- Vitritis (vitreous inflammation) or choroiditis (choroid inflammation) can also occur.
Treatment Options
- Non-infectious retinal vasculitis: Intravitreal corticosteroids and immunosuppressants.
- Infectious retinal vasculitis requires antimicrobial therapy.
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