Abstract
Purpose. Analysis of the frequency and etiological causes of retinovasculitis, their outcomes. Material and methods. All cases of retinovasculitis in the clinic for 2015–2022 were retrospectively selected. Results. In total, 7 patients with retinovasculitis (9 eyes), aged 17 to 49 years, underwent inpatient treatment. Clinical manifestations of retinovasculitis: non-perfused retinal zones, perivascular exudation, tortuosity of retinal vessels, intraretinal hemorrhages. In 8 eyes there was retinal neovascularization, macular edema, vitreoretinal proliferation, partial hemophthalmia, traction retinal detachment. Two patients had bilateral retinovasculitis: a 49-year-old and a 21-year-old woman. Both failed to establish the etiology of the disease. The etiology of retinovasculitis was established in 3 patients: a 34-year-old patient had HLA-B27 carriage in combination with left-sided sacroiliitis; a 48-year-old man has a herpesvirus infection; a 17-year-old boy has a cytomegalovirus infection. Treatment of patients with retinovasculitis depended on the etiology, clinical manifestations, the presence and frequency of relapses, as well as concomitant complications. Panretinal laser coagulation of the retina was performed in 4 eyes with retinal neovascularization, and endovitreal intervention was performed in one eye. As a result of the treatment in all eyes, it was possible to achieve relief of the inflammatory process. The average BCVA after treatment increased to 0.62 ± 0.3. Conclusions. In 8 eyes, retinovasculitis was accompanied by retinal neovascularization, macular edema, vitreoretinal proliferation, partial hemophthalmos, and traction retinal detachment. Keywords: retinovasculitis, uveitis
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