Familial exudative vitreoretinopathy: follow-up and treatment results/Familyal eksudatif vitreoretinopati: takip ve tedavi sonuclarimiz

Objectives: To report the follow-up and treatment results of cases with the diagnosis of familial exudative vitreoretinopathy (FEVR) in our clinic. Materials and Methods: We retrospectively reviewed the records of 19 eyes of 10 cases of FEVR that were followed up and some of them were treated in our clinic. Results: Nine male and one female patients with a mean age of 10.1 (3-30) years were included in the study. Seven patients had a family history of FEVR. Twelve eyes of 8 patients had laser photocoagulation to peripheral avascular areas, 3 patients had vitreoretinal surgery on one of their eyes three times. Unilateral total retinal detachment was determined in two patients at the initial visit and in three patients at the follow-up visits; because no improvement in the vision was expected, surgery was not done. Conclusion: FEVR is an inherited disease that can be detected in any age and can cause severe vision loss. These patients should be followed up throughout the life, and the essential treatment at the appropriate time can lead to partial visual recovery. Key Words: Familial exudative vitreoretinopathy, laser photocoagulation, vitreoretinal surgery Amac: Familyal eksudatif vitreoretinopati (FEVR) tanisi ile klinigimizde takip edilen ve tedavileri uygulanan olgularin sonuclarini bildirmek amaclanmaktadir. Gerec ve Yontem: Klinigimizde FEVR tanisi alan ve bazi olgularda tedavi uygulanmis 10 hastanin 19 gozune ait kayitlar geriye donuk olarak incelendi. Bulgular: Ortalama yas 10,1 yil olan (3-30) olan 9 erkek, 1 kadin hasta calismaya alindi. Yedi hastada FEVR'e ait aile hikayesi bulunmaktaydi. Sekiz hastanin 12 gozune periferik avaskuler alanlara laser fotokoagulasyon, 3 hastanin birer gozune ucer kez vitreoretinal cerrahi uygulandi. Iki hastanin birer gozunde ilk basvuruda, uc hastanin birer gozunde takiplerde total retina dekolmani saptanarak gorme artisi beklenmedigi icin cerrahi girisim uygulanmadan takip edildi. Sonuc: Familyal eksudatif vitreoretinopati her yasta saptanabilen ve ciddi derecede gorme kaybina yol acabilen kalitsal bir hastaliktir. Hayat boyunca takip edilmesi gereken bu hastalarda, uygun zamanda gerekli tedavi ile kismi gorsel basari saglanabilmektedir. Anahtar Kelimeler: Familyal eksudatif vitreoretinopati, laser fotokoagulasyon, vitreoretinal cerrahi