Management of peripheral polypoidal choroidal vasculopathy with intravitreal bevacizumab and indocyanine green angiography-guided laser photocoagulation
| Autor: | Pukhraj Rishi, Atheeswar Das, Pallavi Sarate, Ekta Rishi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Band-shaped keratopathy
corneal dystrophy phototherapeutic keratectomy phototherapeutic keratectomy with amniotic membrane grafts scar and Salzmann nodular degeneration Kaplan Meier survival analysis multivariate Cox Proportional Hazard Regression analysis optical penetrating keratoplasties Myopia phakic refractive intraocular lens refractive surgery 23-Gauge vitrectomy rhegmatogenous retinal detachment sutureless vitrectomy Deep anterior lamellar keratoplasty endothelial cell density keratoconus penetrating keratoplasty Anterior chamber contamination cataract surgery conjunctival flora diabetics Cardiovascular disease diabetes diabetic retinopathy framingham risk score Central macular thickness multifocal electroretinogram normative database optical coherence tomography Macular microhole microperimetry spectral domain optical coherence tomography Age-related macular degeneration choroidal neovascularization photodynamic therapy vitreous traction Descemet membrane endothelial keratoplasty with a stromal rim endothelial keratoplasty posterior lamellar keratoplasty posterior polymorphous corneal dystrophy Indocyanine green angiogram intravitreal bevacizumab laser photocoagulation peripheral hemorrhagic exudative chorioretinopathy polypoidal choroidal vasculopathy Ophthalmology RE1-994 |
| Zdroj: | Indian Journal of Ophthalmology, Vol 60, Iss 1, Pp 60-63 (2012) |
| Druh dokumentu: | article |
| ISSN: | 0301-4738 1998-3689 |
| DOI: | 10.4103/0301-4738.91351 |
| Popis: | A 69-year-old lady presented with complaints of decreased vision in left eye since one month. Best Corrected Visual Acuity (BCVA) was 6/18 in that eye. Fundus examination revealed non-central geographic atrophy and soft drusens at macula in both eyes. Temporal periphery of left eye revealed subretinal exudates with altered sub-RPE hemorrhage mimicking peripheral exudative hemorrhagic chorioretinopathy (PEHCR). Fundus Fluorescein Angiogram showed window defects at macula and blocked fluorescence at temporal periphery in left eye. However, Indocyanine green angiography (ICGA) revealed active peripheral choroidal polyps. The patient was successfully treated with intravitreal bevacizumab and ICGA-guided laser photocoagulation. 27 months after laser treatment, BCVA improved to 6/9. Rationale of consecutive anti-vascular endothelial growth factor (VEGF) treatment followed by more definitive laser photocoagulation is that anti-VEGF aids in resolution of subretinal fluid, thus making the polyp more amenable to focal laser photocoagulation which stabilizes the choroidal vasculature and prevents further leakage. |
| Databáze: | Directory of Open Access Journals |
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