Nada M, Qanoongo S, Singh S V, Khurana A K
Nepal J Ophthalmol. 2017 Jan;9(18):95-98. doi: 10.3126/nepjoph.v9i1.17544.
A case of exudative macroaneurysms in unilateral Eales' disease is reported. 'Eales disease' is an idiopathic bilateral occlusive periphlebitis with neovascularisation and mostly presents with vitreous hemorrhage.
A 30 year old male presented with diminution of vision in left eye (6/36) for 1 month. Slit Lamp examination of both eyes revealed normal anterior segment. Fundus examination of left eye with + 90 D lens revealed reddish lesions at the macula with surrounding circinate exudation. On peripheral examination hemorrhages were seen along with vasculitis in the superotemporal quadrant.The right eye fundus was normal.All laboratory investigations were found within normal limits.
Eales' disease is mostly a bilateral condition but this case is rare as there is uniocular involvement with exudative macroaneurysms.Laser therapy was instituted which was effective in management of this condition with restoration of normal visual acuity.There was no relapse on follow up for 2 years.
本文报告了一例单侧伊尔斯病（Eales病）合并渗出性大动脉瘤的病例。“伊尔斯病”是一种特发性双侧闭塞性静脉周围炎，伴有新生血管形成，主要表现为玻璃体积血。
一名30岁男性，左眼视力下降（6/36）1个月。双眼裂隙灯检查显示眼前节正常。用+90D透镜检查左眼眼底，发现黄斑处有红色病变，周围有环状渗出。周边检查发现颞上象限有出血及血管炎。右眼眼底正常。所有实验室检查均在正常范围内。
伊尔斯病大多为双侧性，但该病例罕见，为单眼受累并伴有渗出性大动脉瘤。采用激光治疗，对该病症的治疗有效，视力恢复正常。随访2年无复发。
