4 Topic Commentaries
Experts Standardize Retinal Vasculitis Terminology
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James T. Rosenbaum, MD
Uveitis / ocular immunology
•Legacy Devers Eye Institute (Portland, Oregon)
SourceTherefore, vascular leakage alone is insufficient to diagnose retinal vasculitis and should be reported simply as vascular leakage.
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Nancy J. Newman, MD
Neuro-ophthalmology
•Emory University School of Medicine, Emory Eye Center
SourceAs for cerebral vasculitis, the term retinal vasculitis implies that there is inflammation in or around the vessel wall. It therefore should be reserved for those disorders definitely secondary to inflammation.
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Jennifer E. Thorne, MD, PhD
Uveitis / ocular immunology
•Wilmer Eye Institute, Johns Hopkins Medicine
SourceThe better able you are to define the disease, the better you can evaluate outcomes.
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Sherief Raouf, Visiting Medical Student
Ophthalmology
•John A. Moran Eye Center, University of Utah
SourceFinally, it should be said that there is some consensus to label idiopathic retinal vasculitis as Eales disease when vascular occlusions and neovascularization lead to recurrent vitreous hemorrhage in the presence of serological evidence of tuberculosis. Admittedly, this distinction may be a semantic one, as the yet unsolved pathophysiology may one day reveal these two entities to lie on one spectrum.
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