Intravitreal steroids and Eales' disease

Eales' disease is an idiopathic retinal vasculitis common in Saudi Arabia effecting young adults, usually men. This chronic disorder is extremely difficult to treat. Treatment modalities in current practice are oral steroids, panretinal photocoagulation and pars plana vitrectomy. One eye of a diagnosed patient with Eales' disease at Vitreoretinal Clinics, Department Of Ophthalmology, Military Hospital, Rawalpindi was administered intravitreal triamcinolone. Preoperative and one month post operative fluorescein fundus angiograms were performed. The post-operative fluorescein fundus angiogram showed decreased perivascular leakage of the fluorescein dye as compared to the preoperative fluorescein fundus angiogram. Our report validated a similar report from the Indo-Pak subcontinent. Intravitreal triamcinolone appears to be a promising treatment modality for retinal vasculitis.