EALES HASTALIĞINDA KLİNİK SEYİR VE LASER TEDAVİSİNİN ETKİNLİĞİ

Abstract

Kliniğimiz retina bölümünde idiopatik periferik retinal vasküliti Eales hastalığı olan 18 hastanın 28 gözü incelendi. Olguların 16’ sı %88.8 erkek, 2’ si %11.1 kadın olup, yaş ortalamaları 48.2 idi. Ortalama takip süresi 36.3 ay 1-93 ay idi. Her hastaya tam oftalmolojik muayene yapıldı ve bütün hastaların flöresein anjiografileri çekildi. Olguların %55.5’ i bilateraldi. Bütün hastalarda ağrısız görme azalması mevcuttu. Süperior temporal kadran en çok tutulan retina alanıydı %64.3 . Olguların %78.5’ inde vitreus hemorajisi vardı. Flöresein anjiografisi bulguları; %89.3 vaskülit, %89.3 neovaskülarizasyon ve %85.7 iskemi olarak saptandı. Yirmi iki olguya laser fotokoagülasyon tedavisi uygulandı.Üç olguya pars plana vitrektomi yapıldı. İki olguda postoperatif görme keskinliği artarken,1 olguda total retina dekolmanı ve fitizis gelişti. Hastaların %83.4’ ünde laser fotokoagülasyon ile görme korunmuş veya artmıştır. Bu oranın erken tanı ve tedavi ile artırılabilmesi mümkündür

Keywords

• Eales hastalığı,laser fotokoagülasyon

CLINICAL COURSE AND EFFECTIVITY OF LASER TREATMENT IN EALES DISEASE

Abstract

In the retina department of our clinic we investigated 28 eyes of 18 patients with idiopathic peripheral retinal vasculitis Eales’ disease . The study group was consisted of 16 males 88.8% and 2 females 11.1% with a mean age of 48.2 years range 28-69 years . Mean follow-up was 36.3 months range 1-93 months . A complete ophthalmic examination was performed in each patient and fluorescein angiography were done in all patients. 55.5% of the cases were bilateral. Decrease of visual acuity without pain was present in all patients. Superior temporal quadrant was most affected 64.3% . 78.5% of the cases had vitreous hemorrhage. Findings of fluorescein angiography were 89.3% vasculitis, 89.3% neovascularization and 85.7% ischemia. Twenty-two cases were treated with laser photocoagulation. Pars plana vitrectomy was performed in three cases. Post-operative visual acuity increased in two patients and there was total retinal detachment and phthisis in one case. Visual acuity unchanged or increased in 83.4% of the patients who had been treated with laser photocoagulation. This proportion can be increased with early diagnosis and treatment

Keywords

• Eales disease,laser photocoagulation

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