Open AccessPapillophlebitis as an initial presentation of Eales' disease
Author(s) -
Dhaval Bharatkumar Patel,
Parthopratim Dutta Majumder,
Jyotirmay Biswas
Publication year - 2020
Publication title -
oman journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 16
eISSN - 0974-7842
pISSN - 0974-620X
DOI - 10.4103/ojo.ojo_90_2020
Subject(s) - medicine , quadrant (abdomen) , fundus (uterus) , optic nerve , ophthalmology , etiology , presentation (obstetrics) , optic disc , retinal vasculitis , vasculitis , retinal , surgery , disease , pathology
Eales' disease (ED), which is an idiopathic obliterative vasculitis, is a diagnosis of exclusion. The optic nerve involvement in ED is not very common. We report a case of ED in a 36-year-old male who initially presented as papillephlebitis. He presented with complaints of decreased vision in his right eye for 2 months. Fundus examination revealed that optic disc edema with hemorrhages, and he was started on oral corticosteroid after the exclusion of infectious etiology. Fundus examination after 2 months revealed thet resolution of optic disc edema, but active periphlebitis with multiple superficial retinal hemorrhages involving inferior and inferotemporal quadrant. Based on negative laboratory results and clinical findings a diagnosis of ED was considered. Regular monitoring of patients with papillephlebitis is recommended.