Eales Disease

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Acta Scientific Ophthalmology (ISSN: 2582-3191) Volume 4 Issue 3 March 2021 Short Communication Eales Disease Gowhar Ahmad* Received: February 10, 2021 Senior Consultant Ophthalmologist, Florence Hospital and University of Jammu Published: February 25, 2021 and Kashmir, Jammu and Kashmir, India © All rights are reserved by Gowhar Ahmad. *Corresponding Author: Gowhar Ahmad, Senior Consultant Ophthalmologist, Florence Hospital and University of Jammu and Kashmir, Jammu and Kashmir, India. Eales disease • Parasitic infestations. William Henry wale in the year 1817 an Australian ophthalmol- • Peripheral vascular diseases kind of thromboangiitis oblit- ogist to describe this condition characterized by recurrent. erans. • Central Eales kind of C R. V occlusion. Vitreous hemorrhage occurring in an young healthy individu- als. DX can be made A kind of disease exclusively occurring in young Asian people. • Direct ophthalmoscopy • Indirect ophthalmoscopy Clinical presentation • • Retinal vasculitis • FundusOCT. fluorescence angiography • Occlusion • Neovascularization Kind of neovascularization is of various types: • Sea fan The condition dies not only involve retinal veins but retinal ves- • Sunburst sels also. • DD The condition is also known as perivasculitis retinea which is • Behcet's disease primary and secondary primary is Eales disease. • Sickle cell disease. Secondary could be pars planitis and chorioretinitis. Complications Exact cause of Eales disease is not known however various risk • Neovascular glaucoma factors are: • Retinal detachment. • Retinal vessels may be sensitized to the toxins of acid fast bacilli. Treatment • Excretion of 17 keto ketosteroids may be reduced. • Steroids: Oral, peribulbar • Focal sepsis. • Paras p. vitrectomy • Hematopoietic disturbances. Citation: Gowhar Ahmad. “Eales Disease". Acta Scientific Ophthalmology 4.3 (2021): 87-88. Eales Disease 88 • Laser • Anti veg. Assets from publication with us • Prompt Acknowledgement after receiving the article • Thorough Double blinded peer review • Rapid Publication • • High visibility of your Published work Issue of Publication Certificate Website: Submit Article: www.actascientific.com/ Email us: www.actascientific.com/submission.php Contact us: +91 9182824667 [email protected] Citation: Gowhar Ahmad. “Eales Disease". Acta Scientific Ophthalmology 4.3 (2021): 87-88..

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A 23‐Year Old Female Patient with Eales Disease: Case Report
SPMC JHCS A 23‐year old female patient with Eales Disease: case report Billie Jean Tang Cordero,1 Redentor Caesar Gonzales1 1Department of Ophthalmology, Southern Philippines Medical During the 19th century, Henry Eales described the clinical features of recurrent retinal hemorrhages in young Center, JP Laurel Ave, Davao patients. The condition was later established as a vasoocclusive inflammatory disease of the peripheral retina City, Philippines that predominantly affects healthy young male individuals, especially in developing countries. We present the case of a 23yearold female with recurrent floaters, sometimes accompanied by blurring of vision, in the left eye. Billie Jean Tang Cordero Flourescein angiography of the left eye showed vitreous hemorrhage on the inferior and temporal portions of the [email protected] retina. Hematologic and autoimmune diseases were ruled out as possible causes of the condition during the first few years. Further systemic workup revealed increased erythrocyte sedimentation rate and a positive Mantoux test. A diagnosis of Eales Disease was made on the sixth year of follow up. The eye condition has been managed 31 May 2015 with intermittent focal laser treatment and short courses of topical prednisolone acetate. Despite the delay in the establishment of the diagnosis and the patient’s refusal to undergo vitrectomy, the recurrent condition has been tolerated by the patient who has been functional at work most of the time. 29 June 2015 Keywords. recurrent vitreous hemorrhage, retinal vasculitis, retinal neovascularization, photocoagulation Cordero BJT, Gonzales RC. A 23year old female patient with Eales Disease: case report. SPMC J Health Care Serv.
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Bahrain Medical Bulletin, Vol. 38, No. 3, September 2016 Early Diagnosis of Eales Disease Abdul Rahman Albuainain, MB Bch, BAO* Ghada Al Bin Ali, Saudi Board of Ophthalmology, FRCS** We report a case of a 29-year-old Bahraini male, healthy and a smoker who presented with photophobia in both eyes, more in his left eye for seven days after upper respiratory tract infection, no associated systemic symptoms. This is the first reported case of this pathology from our institution. Bahrain Med Bull 2016; 38 (3): 176 - 178 Eales disease is an idiopathic inflammatory venous occlusion with superficial retinal hemorrhages in both eyes. Erythrocyte that primarily affects the peripheral retina of young adult1. Sedimentation rate and C-Reactive Protein were both mildly It is rare in developed countries, but common in the Indian elevated; Antinuclear Antibody profile was positive suggesting subcontinent with an incidence of one in 200 to 250 ophthalmic an autoimmune disease. patients2. The disease mainly affects males between 20 to 40 years and tends to be, more often, bilateral. The clinical The diagnosis of exclusion confirmed Eales disease. IV symptoms in most patients include intraocular inflammation, methylprednisolone 1gm for three days was initiated. Pan recurrent vitreous hemorrhage and retinal neovascularization. retinal photocoagulation laser was performed for both eyes, Bleeding from neovascularization is common, usually see figures 1 (A to D) and 2 (A to D). The patient’s condition recurrent and is one of the major causes of visual loss in such improved gradually after four days. Anterior chamber showed cases3. Vitreous hemorrhage is a major manifestation of this occasional cells, vitritis +1 and Pan retinal photocoagulation disease, and it is the major cause of visual impairment in scars without the presence of Roth spots.
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Eales' Disease
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Retinal Occlusion As an Advanced Complication of Sickle Cell Disease Mohammed S Alkhaibari* Ministry of Health, Tabuk, Saudi Arabia
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Case Report Eales Disease: a Rare Primary Perivasculitis of the Retina Ratnasamy Vithiya1, Muthusamy Malaravan2, Pradeepan Jebananthy2, Thirunavukkarasu Kumanan2
Journal of the Postgraduate Institute of Medicine 2017; 4 (1):E45 1-5 http://doi.org/10.4038/jpgim.8145 Case Report Eales disease: A rare primary perivasculitis of the retina Ratnasamy Vithiya1, Muthusamy Malaravan2, Pradeepan Jebananthy2, Thirunavukkarasu Kumanan2 1Faculty of Medicine, University of Jaffna, 2Teaching Hospital, Jaffna, Sri Lanka Keywords: Eales disease, retinal vasculitis, tuberculosis, homocysteine, visual impairment Corresponding Author: Ratnasamy Vithiya, E-mail: [email protected]> http://orcid.org/0000-0001-8229-6818 Received: May 2017, Accepted revised version June 2017, Published: July 2017 Competing Interests: Authors have declared that no competing interests exist This is an open-access article distributed under a Creative Commons Attribution-Share Alike 4.0 International License (CC BY-SA 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are attributed and materials are shared under the same license. Introduction Retinal vasculitis is a sight-threatening condition characterised by inflammmation of the retinal vessels. It can occur as a primary disease or present in association with various diseases. Eales disease is a rare primary perivasculitis of the retina [1]. Here we present a case of a young female presenting with reduced visual acuity who was diagnosed with Eales disease and treated successfully. Case Presentation A 24 year old, previously healthy female from Jaffna in the Northern Province of Sri Lanka presented to the ophthalmology clinic of the Jaffna Teaching Hospital with a four week history of reduced vision and a one week history of floaters in her right eye. She had no ocular trauma or infection.
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CA. Conglomerate tubercle: myth or reality? Tamil Nadu Ophthalmic Assoc J. Comment. Although tuberculous infection and/or hy- 1998;38:23-24. 6. Umadevi K, Madhavi R. Observations on the morphology and life-cycle of persensitivity has been associated with both Eales dis- Procerovum varium (Onji & Nishio, 1916) (Trematoda: Heterophyidae). Syst ease and serpiginous choroiditis, the evidence remains Parasitol. 2000;46(3):215-225. inconclusive.1 M tuberculosis has been detected by poly- merase chain reaction from vitreous biopsies in patients with Eales disease, but the same biopsies were negative for mycobacterial cultures.3 In patients with systemic tu- Eales Disease Associated berculosis, the development of Eales disease is uncom- With Serpiginous Choroiditis mon.4 A positive QuantiFERON result was detected in 11 of 21 patients with serpiginous-like choroiditis.5 Cho- ales disease is an idiopathic, usually bilateral, roidal tuberculous lesions mimicking serpiginous cho- inflammatory, retinal vascular occlusive disor- roiditis have been described and named tubercular ser- E der.1 Serpiginous choroiditis is an idiopathic, piginous-like choroiditis.2 Previous authors6 believe that usually bilateral, recurrent acute progressive inflam- tubercular serpiginous-like choroiditis may be distin- mation of the inner choroid and retinal pigment guishable from classic serpiginous choroiditis by the pres- epithelium.2 To our knowledge, we describe the ence of vitritis and smaller, multifocal lesions in the fun- first case of Eales disease followed by serpiginous cho- dus of patients from tuberculosis endemic regions. roiditis. To our knowledge, the coexistence of Eales disease and serpiginous choroiditis has been reported only once Report of a Case. A 49-year-old immunocompetent white before, in a 35-year-old Pakistani man with bilateral man had gradual vision loss in his left eye.
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A CLINICAL STUDY ON EALES DISEASE DISSERTATION SUBMITTED TO THE TAMILNADU Dr. MGR MEDICAL UNIVERSITY CHENNAI M.S DEGREE EXAMINATION BRANCH – III OPHTHALMOLOGY MARCH - 2007 CERTIFICATE This is to certify that Dr.M. Periyanayagi, M.S. Post Garduate in Ophthalmology, Regional Institute of Ophthalmology and Government Ophthalmic hospital attached to Chennai Medical College, Chennai, carried out this dissertation on “CLINICAL STUDY ON EALES DISEASE” by herself under my guidance and direct supervision during May 2004 To March 2007. This dissertation is submitted to the TamilNadu Dr.MGR Medical University, Chennai for the fulfillment of award of M.S. Degree in Ophthalmology. Prof. Dr. K. ASOKAN, M.S.D.O, Prof. Dr. V. VELAYUTHAM, M.S.D.O, Unit Chief, Retina Clinic, Director & Superindentent, RIO - GOH, RIO - GOH, Chennai Chennai Prof.Dr. KALAVATHY PONNIRAIVAN, B.Sc, M.D Dean, Madras Medical College, Chennai ACKNOWLEDGEMENT I express my sincere thanks and gratitude to Prof. Dr. KALAVATHI PONNIRAIVAN, M.D, Dean, Madras Medical College for permitting me to conduct this study. I have great pleasure in thanking professor Dr. V. VELAYUTHAM, M.S.D.O., Director and Superindentent RIO- GOH, Madras Medical College, for his valuable advice in preparing this dissertation. I am very grateful to my Prof. Dr. K.ASOKAN, M.S.D.O., unit chief for his valuable guidance and constant support at every stage throughout the period of this study. I am very grateful to my unit assistants Dr. EASWAR RAJ, M.S.D.O., Dr. RAJASEKAR, M.S. Dr. CHITRA, D.O, D.N.B., for rendering their valuable advice and guidance for the study.
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