Case Reports in Ophthalmology (Feb 2015)

Single Bilateral Dexamethasone Implant in Addition to Panretinal Photocoagulation and Oral Azathioprine Treatment in IRVAN Syndrome

  • Ali Osman Saatci,
  • Ziya Ayhan,
  • Ömer Takeş,
  • Aylin Yaman,
  • F. Meltem Söylev Bajin

Journal volume & issue
Vol. 6, no. 1
pp. 56 – 62


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The idiopathic retinal vasculitis, aneurysms and neuroretinitis (IRVAN) syndrome is a disease characterized by multiple retinal macroaneurysms, neuroretinitis and peripheral capillary nonperfusion. Visual loss may result from either ischemia-related complications or macular involvement. Treatment is not always rewarding. We report a case with stage 2 IRVAN syndrome who was successfully treated with a single bilateral intravitreal dexamethasone implant in addition to panretinal photocoagulation and systemic azathioprine treatment.