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- Title
Comprehensive overview of IRVAN syndrome: a structured review of Case Reports and Case Series.
- Authors
Ali Khan, Hashim; Ali Khan, Qaim; Shahzad, Muhammad Aamir; Awan, Muhammad Amer; Khan, Naeemullah; Jahangir, Smaha; Shaheen, Fiza; Wali, Kamran; Rodman, Julie; Pizzimenti, Jozeph; Saatci, Ali Osman
- Abstract
Idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome is a rare spectrum of retinal vasculitis, aneurysms, and neuroretinitis affecting young individuals in their third decade. Most of our current knowledge is based on case reports, case series, and a handful of collaborative studies. There is much diversity in treatment approaches and outcomes in the reported literature. We have aggregated published case reports and case series into quantitative and narrative synthesis to draw evidence-based conclusions toward clinical features, atypical and rare findings, systemic associations, disease course, and treatment outcomes. The analysis suggested the disease mostly affects young individuals with a female predilection. Anterior chamber and vitreous inflammation are common than previously believed. The most prevalent pattern of retinal vasculitis in IRVAN eyes is mixed vasculitis, followed by arteritis and phlebitis. Most eyes at the time of presentation have capillary nonperfusion and require treatment. Most eyes retain good visual acuity; however, treatment is required to maintain visual function. Intravitreal antivascular endothelial growth factors administered as an adjunct to retinal laser photocoagulation are more likely to improve visual outcomes. Besides, we have discussed the different hypotheses on the etiopathogenesis of the disease and stronger evidence suggests an inflammatory origin of the disease.
- Subjects
ANEURYSM diagnosis; RETINAL disease diagnosis; VASCULITIS treatment; POSTERIOR uveitis; ANEURYSMS; ARTERITIS; SYSTEMATIC reviews; AGE distribution; MEDICAL lasers; TREATMENT effectiveness; SEX distribution; PHLEBITIS; VISUAL acuity; RETINAL diseases; MEDLINE; VASCULITIS; OPHTHALMIC surgery; DISEASE risk factors; SYMPTOMS
- Publication
Therapeutic Advances in Ophthalmology, 2022, p1
- ISSN
2515-8414
- Publication type
Article
- DOI
10.1177/25158414211070880