EALES DISEASE- A RARE ENTITY FOR SUDDEN LOSS OF VISION

DR POLAM HARSHITHA REDDY; DR NIHARIKA PULIGUNDLA; DR REDDY BHARGAV; DR SUGANESWARI; DR N NAGARAJAN

Volume : VII, Issue : XI, November - 2018

EALES DISEASE- A RARE ENTITY FOR SUDDEN LOSS OF VISION

Dr Polam Harshitha Reddy, Dr Niharika Puligundla, Dr Reddy Bhargav, Dr Suganeswari, Dr N Nagarajan

Abstract :

INTRODUCTION : EALES DISEASE IA AN IDIOPATHIC OBLITERATIVE VASCULOPATHY THAT USUALLY INVOLVES THE PERIPHERAL RETINA OF YOUNG ADULTS. THE FREQUENCY WITH WHICH IT IS ENCOUNTERED MAKES EALES DISEASE A FORMIDABLE DIAGNOSTIC CHALLENGE. CASE HISTORY : A 34 YEAR OLD MALE CONSULTED HIS PRIMARY PHYSICIAN AT PES FOR SUDDEN ONSET OF BLURRING OF VISION IN HIS LEFT EYE WHILE WORKING ON HIS COMPUTER. VISION LOSS WAS COMPLETE WITH SENSATION OF FLOATERS,SPECKS,ZIG ZAC LINES. IT WAS NOT ASSOCIATED WITH HEADACHE, LIMB WEAKNESS, LOSS OF CONSCIOUSNESS. HIS VITALS WERE STABLE. CAROTID PULSATIONS WERE NORMAL.NO OTHER NEUROCUTANEOUS LESION OF NEUROFIBROMA, ARTERIAL SCLEROSIS, ANGIOID STREAKS IN PSEUDOXANTHOMA ELASTICUM.NO FEATURES SUGGESTIVE OF RETINITIS PIGMENTOSA AS IN ATAXIC TELANECTASIA.NO HISTORYOF DIABETES OR HYPERTENSION.FAMILY HISTORY NOT SIGNIFICANT. HE WAS REFERRED TO SHANKARA NETHRALAYA (CHENNAI). HE UNDERWENT VISION TESTING WITH FUNDUS FLUORESCENT ANGIOGRAPHY, WHICH REVEALED PERIPHERAL RETINAL VESSEL SCLEROSIS WITH CONSTRICTION AND VITREOUS HAEMORRHAGE