A 23-year old female patient with Eales Disease: case report
Abstract
During the 19th century, Henry Eales described the clinical features of recurrent retinal hemorrhages in young patients. The condition was later established as a vaso-occlusive inflammatory disease of the peripheral retina that predominantly affects healthy young male individuals, especially in developing countries. We present the case of a 23-year-old female with recurrent floaters, sometimes accompanied by blurring of vision, in the left eye. Flourescein angiography of the left eye showed vitreous hemorrhage on the inferior and temporal portions of the retina. Hematologic and autoimmune diseases were ruled out as possible causes of the condition during the first few years. Further systemic work-up 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 with intermittent focal laser treatment and short courses of topical prednisolone acetate. Despite the delay in the establishment of the diagnosis and the patients refusal to undergo vitrectomy, the recurrent condition has been tolerated by the patient who has been functional at work most of the time.
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