Extensive dynamics in location, shape, and size of aneurysms in a patient with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome. Idiopathic retinal vasculitis, aneurysms, and neuroretinitis.
OBJECTIVE
To describe an unusual case of idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome with rapid dynamics in the number and appearance of the aneurysms.


METHODS
Observational case report.


METHODS
Clinical and angiographic data of the patient were reviewed.


RESULTS
In the course of only 6 months, preexisting retinal aneurysms resolved while new ones appeared. Changes were observed in the shape and size of preexisting lesions. The resolution of lesions in eyes previously untreated by laser is reported for the first time.


CONCLUSIONS
Vascular lesions in IRVAN syndrome may show an unusually rapid turnover. The resolution of aneurysms is a part of the natural course of the disease and may occur without previous retinal laser photocoagulation.
Yeshurun
Itamar
I
Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Recillas-Gispert
Claudia
C
Navarro-Lopez
Patricia
P
Arellanes-Garcia
Lourdes
L
Cervantes-Coste
Guadalupe
G
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D012161:Retinal Artery / Q000473:pathology*; D031300:Retinal Vasculitis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D012173:Retinitis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D013577:Syndrome; D014792:Visual Acuity