Abstract

Macular involvement is a common finding in patients with Eales disease . The purpose of this communication is to describe the diagnosis of Eales disease from the finding of a macular epiretinal membrane in a young patient. The case is presented of a 38-year-old man referred to this medical service unit with blurred vision developed over the past 3 months, and was associated with vitreoretinal traction and a macular epiretinal membrane. After an ophthalmological examination including the retinal periphery, optical coherence tomography , tuberculin test , interferon gamma release assay , and a systemic study, the patient was diagnosed with Eales disease. Macular oedema or epiretinal membranes due to Eales disease are relatively common. Sd-OCT is recommended in all patients with Eales Disease. On the other hand, the presence of epiretinal membranes in young patients usually suggests a non-idiopathic aetiology. Presentamos el caso de un varón de 38 años, remitido a nuestro servicio por tracción vítreo-retiniana y membrana epirretiniana asociada a pérdida de visión de 3 meses de evolución. Tras una exploración oftalmológica que incluyó el examen de la periferia retiniana, tomografía de coherencia óptica, prueba de tuberculina, IGRA y estudio sistémico se llegó al diagnóstico de enfermedad de Eales. La afectación macular en pacientes con enfermedad de Eales es un hallazgo común, ya sea en forma de edema macular o membrana epirretiniana. Por ello, es aconsejable realizar un estudio macular mediante OCT. Por otra parte, el hallazgo de una membrana epirretiniana en un paciente joven debe hacernos pensar en una posible etiología no idiopática.

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