| Autor: |
Lambat, Sarang P., Bajoria, Sheetal L., Nangia, Vinay B., Nangia, Prabhat V., Mishra, Swati D., Shah, Neha H. |
| Zdroj: |
Retinal Cases & Brief Reports; Sep2022, Vol. 16 Issue 5, p569-571, 3p |
| Abstrakt: |
Cystoid macular edema in a silicone oil–filled eye is known to resolve after removal of silicone oil. Because in our case the cystoid macular edema was nonresponsive to topical therapy and silicone oil was going to be retained, we injected intravitreal bevacizumab and could achieve a therapeutic response. Purpose: To report the safety and efficacy of intravitreal bevacizumab (IVB) in a case of cystoid macular edema (CME) in a silicone oil–filled eye. Methods: A man, aged 51 years, reported with poor visual improvement in the right eye (RE) after pars plana vitrectomy with oil injection performed 2 months back for a pseudophakic, macula-off rhegmatogenous retinal detachment. His best-corrected visual acuity in the RE was counting fingers 2 m. Fundus examination of the RE showed a silicone oil–filled eye with attached retina, and CME was confirmed on spectral-domain optical coherence tomography. He was advised to undergo IVB injection, which was given a few days later. Results: One week after IVB, the central macular thickness had decreased to 437 μ m. Seven weeks later, the macular edema subsided completely with a final central macular thickness of 219 μ m. His vision improved by seven lines to 6/24 and was stable for another 2 months. He underwent removal of silicone oil after 3 months, wherein his visual acuity improved further by one line to 6/18. Discussion: This case demonstrates the use IVB for CME in a silicone oil–filled eye. It was found that IVB was safe and effective in CME associated with a silicone oil–filled eye. [ABSTRACT FROM AUTHOR] |
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