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Vitreous hemorrhage in multiple sclerosis-associated uveitis.
Natasa Vidovic Valentincic1, Aleksandra Kraut, Aniki Rothova
1University Medical Centre, Department of Ophthalmology, Ljubljana, Slovenia. vid.val@t-2.net
Ocular Immunology and Inflammation
|March 17, 2007
Summary
Vitreous hemorrhage (VH) occurred in 24% of patients with intermediate uveitis (IU) and multiple sclerosis (MS). VH can be an early sign of MS-associated uveitis, necessitating consideration of this diagnosis.
Area of Science:
- Ophthalmology
- Neurology
- Immunology
Background:
- Intermediate uveitis (IU) is an intraocular inflammatory condition.
- Multiple sclerosis (MS) is a chronic demyelinating disease of the central nervous system.
- The association between IU and MS is recognized, but specific complications require further elucidation.
Observation:
- This case series reports on six patients with IU and MS who developed vitreous hemorrhage (VH).
- VH occurred in 24% of the studied IU and MS cohort.
- In 67% of cases, IU preceded the onset of MS, and VH appeared a median of five years after IU onset.
Findings:
- All patients exhibited peripheral phlebitis, ischemic retinal areas, and subretinal neovascularizations.
- VH resolved spontaneously in all cases, but two patients developed retinal detachment.
- Visual acuity outcomes varied significantly, with causes including optic neuritis, cystoid macular edema, and retinal detachment.
Implications:
- VH may be an early or presenting sign of MS-associated uveitis.
- Ophthalmologists should consider MS in patients presenting with IU and VH.
- Early diagnosis and management of MS-associated uveitis can potentially improve visual outcomes.
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