This abstract is assigned to sessions
| Presentation preference | Oral presentation |
| Title | Acute Idiopathic Hemorrhagic Retinal Vasculitis: Clinical Course and Treatment |
| Purpose | To report clinical characteristics and treatment of acute idiopathic hemorrhagic retinal vasculitis (AIHRV) |
| Methods | Records of 10 patients (7 female, 3 male) with AIHRV in 12 eyes seen between 2012-2018 were reviewed. |
| Results | Mean age at presentation was 32±5 years. Mean LogMAR visual acuity (VA) was 1.5±0.8, mean intraocular pressure (IOP) was 10.8±3.3, mean flare value was 152.6±237.8ph/ms, mean central macular thickness (CMT) was 709.5±266.3 at presentation. All patients had extensive preretinal and/or subretinal hemorrhages and vascular sheathing. Fluorescein angiography was performed in 7 patients, showing retinal ischemia in 6 and neovascularization in 2 eyes. Serological tests, hematologic and rheumatologic examination were unrewarding in all. Mean follow-up was 13.5±9.9 months. 9 patients received systemic corticosteroids. Adjunct local corticosteroids and/or intravitreal anti-VEGF injections were performed when needed. 2 patients with macular edema received Interferon alpha-2a, 2 patients received empirical oral valacyclovir and 1 patient received azathioprine. Retinal laser photocoagulation was performed in 8 eyes. Ocular complications were vitreous hemorrhage in 2 and increased IOP in 8 patients, including 2 with neovascular glaucoma. At final visit, mean LogMAR VA was 0.8±0.8, mean IOP was 15.9±3.8, mean flare was 22.8±30.9ph/ms, mean CMT was 272.7±70.8. |
| Conclusion | AIHRV is a challenging condition with unknown etiology and there is no specific treatment. Close follow-up is required for early detection and treatment of ocular complications. |
| Conflict of interest | No |
Authors 1
| Last name | AKSU CEYLAN |
| Initials of first name(s) | N |
| Department | Ophthalmology |
| City | Istanbul |
| Country | Turkey |
Authors 2
| Last name | Ergul |
| Initials of first name(s) | E |
| Department | Ophthalmology |
| City | Istanbul |
| Country | Turkey |
Authors 3
| Last name | Oray |
| Initials of first name(s) | M |
| Department | Ophthalmology |
| City | Istanbul |
| Country | Turkey |
Authors 4
| Last name | Tugal Tutkun |
| Initials of first name(s) | I |
| Department | Ophthalmology |
| City | Istanbul |
| Country | Turkey |
