[Retinal periphlebitis in multiple sclerosis. A prospective study].
Twenty-four patients with clinically defined multiple sclerosis were prospectively studied with the aim of establishing the frequency of retinal periphlebitis. In three cases (12.5%) retinal periphlebitis was observed. None of the patients with multiple sclerosis and retinal periphlebitis presented a severe form or progressive course of the disease; however, in one patient it caused complete unilateral amaurosis. Aggressive immunosuppressive treatment was effective in one case. Given the absence of myelin in the retina, the presence of retinal periphlebitis suggests the existence of a vascular mechanism in the pathogenesis of multiple sclerosis.
Río
J
J
Servicio de Neurología, Universitària de la Vall d'Hebron, Barcelona.
Colín
A
A
Salvador
F
F
Tintoré
M
M
Viguera
M L
ML
Montalbán
J
J
Codina
A
A
D000328:Adult; D005074:Evoked Potentials, Visual; D005260:Female; D006801:Humans; D008028:Light Coagulation; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications* / Q000276:immunology; D010689:Phlebitis / Q000150:complications* / Q000276:immunology; D011446:Prospective Studies; D012164:Retinal Diseases / Q000150:complications* / Q000276:immunology; D012169:Retinal Vein / Q000276:immunology
Periflebitis retiniana en la esclerosis múltiple. Estudio prospectivo.