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Inicio Medicina Clínica (English Edition) New imaging techniques in retinal vasculitis
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Vol. 149. Issue 6.
Pages 261-266 (September 2017)
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Vol. 149. Issue 6.
Pages 261-266 (September 2017)
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DOI: 10.1016/j.medcle.2017.08.009
New imaging techniques in retinal vasculitis
Nuevas técnicas de imagen en vasculitis retinianas
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Marina Mesquida
Corresponding author
mesquida@clinic.cat

Corresponding author.
, Víctor Llorens, Alfredo Adán
Institut Clínic d’Oftalmologia, Hospital Clínic de Barcelona, Barcelona, Spain
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Abstract

The term retinal vasculitis (RV) encompasses a heterogeneous group of sight-threatening conditions that are included in the intraocular inflammatory diseases that affect the posterior segment of the eye. Based on the nature of the inflammatory process, RV are classified into predominantly inflammatory or ischaemic (occlusive RV). The diagnosis is clinical and the aetiology can be infectious or non-infectious (immune-mediated). RV can be an isolated ocular syndrome or be associated with a systemic disease, of which they can represent the first manifestation. New retinal imaging techniques such as ultra-wide field fluorescein angiography and optical coherence tomography angiography will help us classify the RV and aid the diagnostic process, which can be challenging and require a multidisciplinary approach. Therefore, clinical knowledge of RV is essential for prompt diagnosis and to establish the appropriate treatment.

Keywords:
Retinal vasculitis
Uveitis
Intraocular inflammation
Behçet's disease
Resumen

El término vasculitis retinianas (VR) engloba un grupo de entidades potencialmente graves que forman parte de las enfermedades inflamatorias intraoculares que afectan al segmento posterior del ojo. Según la naturaleza del proceso inflamatorio, las VR se clasifican en predominantemente inflamatorias o isquemizantes (VR oclusivas). Su diagnóstico es clínico y su etiología puede ser infecciosa o inmunomediada. Pueden constituir cuadros oculares aislados o bien formar parte de una enfermedad sistémica potencialmente grave, de la que pueden ser la manifestación inicial. Las nuevas técnicas de imagen retiniana, como la angiografía fluoresceínica de campo amplio o la tomografía de coherencia óptica-angiografía, nos ayudarán a clasificar la VR y guiarán la sospecha diagnóstica. Las VR pueden representar un reto diagnóstico y requerir un abordaje multidisciplinar. Por ello, el conocimiento de las VR es importante para que se pueda establecer un diagnóstico temprano e instaurar el tratamiento adecuado.

Palabras clave:
Vasculitis retiniana
Uveítis
Inflamación intraocular
Enfermedad de Behçet

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