EALES DISEASE: Medical, Laser, and Surgical Treatments

Abstract

Eales disease is an idiopathic retinal vasculitis that affects predominantly young men. The major manifestations of Eales disease are the inflammation of retinal veins with or without arteritis papillitis anterior posterior uveitis or pars planitis. The prognosis usually depends on the degree of vitreous macular circulatory failure proliferative retinopathy. The involvement is mostly bilateral at the peripheral retina. The fundus lesions that can be observed vary among retinal neovascularization (fig.1) vascular sheathing (fig.2) retinal vitreous hemorrhage retinitis proliferans (fig.3) disc neovascularization (fig.4) branch central retinal vein occlusion tractional retinal etachment rubeosis iridis neovascular glaucoma. In addition to these lesions the engorged tortous retinal veins leakage from these veins macular retinal edema shunt vessels hypoxic areas microaneurysms (fig. 5) can be seen more easily with fluorescein angiography.