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November 8, 2018

Idiopathic Retinal Vasculitis, Aneurysms, and Neuroretinitis (IRVAN) in a Patient Without IRVAN History

Author Affiliations
  • 1Centre for Ophthalmology and Visual Science, University of Western Australia, Perth, Australia
  • 2Lions Eye Institute, Nedlands, Western Australia, Australia
  • 3Department of Ophthalmology, Sir Charles Gairdner Hospital, Western Australia, Australia
  • 4LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York
  • 5Vitreous, Retina, Macula Consultants of New York, New York
  • 6Department of Ophthalmology, New York University School of Medicine, New York
JAMA Ophthalmol. 2019;137(2):230-232. doi:10.1001/jamaophthalmol.2018.5247

The cause of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) as to whether it is a congenital or acquired disorder is unresolved. We present a case of IRVAN in a patient with previously normal results of a retinal examination.

A woman in her early 30s presented with a 6-month history of bilateral blurred vision. She stated that she had experienced no illnesses associated with visual changes. Her refractive error was −2 diopters OU. Her medical history included an uncomplicated laparoscopic sleeve gastrectomy 4 years earlier. She was receiving no medications and reported that there was no family history of eye diseases.

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