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Le diagnostic positif est biomicroscopique et angiographique. Retinal vasculitis during posterior uveitis represents diagnostical, etiological and therapeutical problems, which are successively exposed. The positive diagnosis is biomicroscopic and angiographic. The fluorescein angiography has multiple interests, which are: to highlight vasculitis missed by optical tests, specify the extension of vasculitis outside the occluded territory, evaluate their inflammatory activity by the importance of late parietal impregnation, evaluate the leakage due to the internal blood retinal barrier's rupture, specify the achievement mode, purely venous or mixed, arterial and venous, specify their occlusive nature and neovascular complications, make causal arguments, and finally evaluate the therapeutical response.
The etiological diagnosis of retinal vasculitis is based on initial semiological arguments, which will guide the assessment. It is guided by the semiological aspects associated with the ocular sphere, the etiological arguments of the fluorescein retinal angiography supplemented by infracyanine, the patient's conditions, associated systemic signs, known and unknown.
In response to any retinal vasculitis and any inflammatory aspect of the vitreous, we must eliminate infectious and tumoral causes that are under specific treatment and can be life-threatening. Treatment is as specific as possible, and can associate anti-inflammatory drugs if necessary. Potential severity of the side effects of immunosuppressants has allowed the assessment of the therapeutical benefits of immunomodulatory molecules.
They include polyclonal antibodies, or polyvalent immunoglobulins, monoclonal antibodies and interferon alpha. The prognosis of retinal vasculitis depends on their location, their etiology, treatment and complications.
Long-term monitoring allows therapeutical adaptations to preserve visual function by controlling the side effects of the treatments performed. Previous Article Maladie de Eales M. Guillard, E. Delair, A. Article Article Outline.
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