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Eales disease

Retina & Vitreous

Key Points

  • •Eales disease is an idiopathic retinal periphlebitis affecting young males (90–95% male, age 20–40 years), most common in the Indian subcontinent
  • •Diagnosis of exclusion - must rule out sarcoidosis, TB, syphilis, Behçet disease, and other vasculitides before diagnosis
  • •Classic triad: peripheral periphlebitis → retinal non-perfusion → neovascularisation with vitreous haemorrhage
  • •Strong association with TB hypersensitivity (Mantoux positive in ~50–70%); ATT commonly given in India alongside steroids
  • •FFA is essential to delineate non-perfusion; PRP is the mainstay treatment for proliferative stage; vitrectomy for non-clearing vitreous haemorrhage

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17 more sections are included with the Clinical plan.

  • Definition
  • Epidemiology
  • Aetiology and causes
  • Pathogenesis
  • Classification
  • Risk factors and associations

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