Eales Disease Follow-up
- Author: Daniel B Roth, MD; Chief Editor: Hampton Roy, Sr, MD more...
Further Outpatient Care
After scatter laser photocoagulation, monitor the Eales disease patients for regression or progression of neovascularization. Instruct the patient to contact an ophthalmologist if a decrease or change in vision is noted.
Complications of retinal neovascularization can lead to severe visual loss due to persistent vitreous hemorrhage and retinal detachment.
Anterior segment neovascularization can cause neovascular glaucoma with resultant visual loss and, occasionally, even loss of the eye.
Peripheral retinal nonperfusion can limit a patient's visual field, and, if the area of nonperfusion extends into the macula, severe visual loss may result. No effective treatment exists to prevent capillary nonperfusion.
Macular puckering has been reported to occur in 3% of eyes after scatter laser photocoagulation treatment of Eales disease.
More than 90% of Eales disease patients can be brought to a morphological standstill with unchanging visual acuity.
Gieser and Murphy reported that 67% of patients had a final visual acuity in the better eye of 20/40 or better, 24% ranged from 20/50 to 20/200, and 9% were worse than 20/250.
In another study from India, 72% of eyes that underwent vitrectomy for complications of Eales disease maintained a vision of 20/200 or better over 5 years of follow-up care.
Patients with Eales disease should be educated to report visual symptoms of floaters or decreased vision to their ophthalmologist as soon as possible, in order to implement effective treatment and to prevent the need of vitrectomy surgery for vitreous hemorrhage or retinal detachment.
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