IDIOPATHIC RETINAL VASCULITIS, ANEURYSMS, AND NEURORETINITIS COMPLICATED BY CILIORETINAL ARTERY OCCLUSION: MULTIMODAL IMAGING AND 5-YEAR FOLLOW-UP
Bibliographic record
Abstract
PURPOSE: Idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome may be complicated by cilioretinal artery occlusion, resulting in poor final visual acuity despite reperfusion of the occluded artery. Multimodal imaging assessment may be helpful for diagnosis, classification, and monitoring such cases.To describe a multimodal imaging and a 5-year follow-up of a case of cilioretinal artery occlusion in a 40-year-old woman with idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome. METHODS: Fundus photography, indocyanine green and fluorescein angiography, optical coherence tomography (OCT), OCT angiography (OCTA), and a literature review of retinal artery occlusions associated with idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome were performed. RESULTS: Fundus examination revealed bilateral blurred margins of the disks and perivascular hard exudates. Fluorescein angiography demonstrated peripheral capillary nonperfusion areas in both eyes. It also revealed an aberrant cilioretinal artery in the right eye. OCT showed attenuation of the inner retinal layers and disruption of the outer retinal layers secondary to cilioretinal artery occlusion in the right eye. OCTA allowed a clear identification of macular hypoperfusion in both eyes. Laser photocoagulation, along with antivascular endothelial growth factor and corticosteroid intravitreal injections, was administered in both eyes. Best-corrected visual acuity remained stable, with no evidence of progression or development of neovascularization after a 5-year follow-up. CONCLUSION: Idiopathic retinal vasculitis, aneurysms, and neuroretinitis syndrome may be complicated by cilioretinal artery occlusion, resulting in poor final visual acuity despite reperfusion of the occluded artery. In such cases, multimodal imaging allows the identification of complications such as macular atrophy on OCT and hypoperfusion areas that may not be detected on fluorescein angiography on OCTA.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".