Retinal Vaskülitli Hastalarda Tanı, Tedavi ve Görme Keskinliği Sonuçları.

Purpose: To evaluate the diagnosis, treatment, and visual outcome in patients with retinal vasculitis (RV). Materials and Methods: The clinical records of 71 patients diagnosed with RV between 1997 and 2007 were reviewed retrospectively. The diagnosis was made by slit-lamp examination and fundus fluorescein angiography. Results: Forty-one patients were diagnosed with Behçet's disease (57.7%), 7 patients with sarcoidosis (9.8%), 7 patients with primary RV (9.8%), 4 patients with pars planitis (5.6%), 4 patients with multiple sclerosis (5.6%), 3 patients with Eales' disease (4.2%), 2 patients with ocular toxoplasmosis (2.8%), 1 patient with Lyme disease (1.4%), 1 patient with idiopathic retinal vasculitis, aneurysm, and neuroretinitis (IRVAN) syndrome (1.4%), and 1 patient with tuberculosis (1.4%). Fluorescein angiography of these patients showed optic disc leakage in 60 patients (84.5%), diffuse vascular leakage in 59 patients (83.09%), cystoid macular edema in 21 patients (29.5%), peripheral segmentary vascular leakage in 12 patients (16.9%), peripheral retinal ischemia in 10 patients (14.08%), and macular ischemia in 5 patients (7.04%). Occlusive vasculitis was determined in 11 patients (15.4%). Visual acuity improved in 43 patients (60.5%), stayed at the same level in 19 patients (26.7%), and worsened in 9 patients (12.6%) after the treatment given according to the diagnosis. Conclusion: Retinal vasculitis may occur in isolated form or in association with other ocular and systemic inflammatory diseases. We can expect better visual outcomes with a multidisciplinary diagnostic and therapeutic approach. [ABSTRACT FROM AUTHOR]