Definition
Eales’ disease is an uncommon, idiopathic inflammatory retinal vasculopathy that mainly affects the peripheral retina of otherwise healthy young adults in their second to fourth decade of life. The disease was first described in 1880–1882 by Henry Eales as a noninflammatory condition in young healthy male patients who presented with recurrent vitreous retinal hemorrhages and epistaxis. Subsequently, the condition has been redefined as a primarily inflammatory condition (Biswas et al. 2002).
The disease is characterized by an obliterative, progressive, peripheral retinal vasculitis, predominately periphlebitis that can lead to large areas of peripheral retinal non-perfusion, severe retinal ischemia, and neovascularization, resulting in repeat vitreous hemorrhages with or without retinal detachment. In some patients there are associated retinitis and vitritis, but in others there is very little or no inflammation.
Etiology
Eal...
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References
Biswas J, Sharma T, Gopal L, Madhavan HN, Sulochana KN, Ramakrishnan S (2002) Eales disease-an update. Surv Ophthalmol 47:197–214
Biswas J, Ravi RK, Naryanasamy A, Kulandai LT, Madhavan HN (2013) Eales’ disease-current concepts in diagnosis and management. J Ophthalmic Inflamm Infect 3:11
Dehghan MH, Ahmadieh H, Soheilian M, Azarmina M, Mashayekhi A, Naghibozakerin J (2005) Therapeutic effects of laser photocoagulation and/or vitrectomy in Eales’ disease. Eur J Ophthalmol 15(3):379–383
Gadkari SS, Kamdar PA, Jehangir RP, Shah NA, Adrianwala SD (1992) Pars plana vitrectomy vitreous haemorrhage due to Eales Disease. Indian J Ophthalmol 40:35–37
Gopal L, Abraham C (1985) Efficacy of photocoagulation in Eales’ disease. Trans Asia-Pacific Acad 10:689
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Sharief, L., Yovel, O., Baltmr, A., Lightman, S., Tomkins-Netzer, O. (2015). Eales’ Disease. In: Schmidt-Erfurth, U., Kohnen, T. (eds) Encyclopedia of Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35951-4_1063-1
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DOI: https://doi.org/10.1007/978-3-642-35951-4_1063-1
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Publisher Name: Springer, Berlin, Heidelberg
Online ISBN: 978-3-642-35951-4
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