Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor

Atsuko Sato, Emi Fukui, Kouichi Ohta Department of Ophthalmology, Matsumoto Dental University, Shiojiri, Nagano, JapanCorrespondence: Atsuko SatoDepartment of Ophthalmology, Matsumoto Dental University, 1780 Gobara, Hirooka, Shiojiri, Nagano 399-0781, JapanTel/Fax +81-263-51-2210Email atsuko.sato@md...

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Main Authors: Sato A, Fukui E, Ohta K
Format: Article
Language:English
Published: Dove Medical Press 2020-09-01
Series:International Medical Case Reports Journal
Subjects:
Online Access:https://www.dovepress.com/macular-hole-formation-in-eye-after-cryotherapy-and-intravitreal-bevac-peer-reviewed-article-IMCRJ
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author Sato A
Fukui E
Ohta K
author_facet Sato A
Fukui E
Ohta K
author_sort Sato A
collection DOAJ
description Atsuko Sato, Emi Fukui, Kouichi Ohta Department of Ophthalmology, Matsumoto Dental University, Shiojiri, Nagano, JapanCorrespondence: Atsuko SatoDepartment of Ophthalmology, Matsumoto Dental University, 1780 Gobara, Hirooka, Shiojiri, Nagano 399-0781, JapanTel/Fax +81-263-51-2210Email atsuko.sato@mdu.ac.jpPurpose: To report a case of a full-thickness macular hole (MH) that developed after cryotherapy and intravitreal bevacizumab injection (IVB) to treat a retinal vasoproliferative tumor (VPT).Methods: Case report of a man with a retinal VPT.Results: A 64-year-old Japanese man complained of blurred vision in his right eye. At the initial examination, his best-corrected visual acuity (BCVA) was 20/25 in the right eye and 20/20 in the left eye. Ophthalmoscopy showed a VPT in the lower peripheral retina of the right eye. An exudative retinal detachment and hard exudates were seen around the tumor. Cryotherapy and intravitreal injections of bevacizumab (IVB) were performed. Although the exudative changes were reduced, a MH developed two months after the initial IVB treatment. He underwent 25-gauge pars plana vitrectomy, and the MH was closed. His postoperative BCVA was 20/32 and the VPT was inactive. The reduced BCVA was due to damage of the outer retinal layers.Conclusion: Our findings indicate that cryotherapy and IVB are effective treatments for VPT although the possibility of developing a MH should be considered.Keywords: intravitreal bevacizumab injection, macular hole, optical coherence tomography, vasoproliferative tumor, vitrectomy
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spelling doaj.art-4ea628f15fe4407c811738b27765d9862022-12-22T00:48:34ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2020-09-01Volume 1341942357001Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative TumorSato AFukui EOhta KAtsuko Sato, Emi Fukui, Kouichi Ohta Department of Ophthalmology, Matsumoto Dental University, Shiojiri, Nagano, JapanCorrespondence: Atsuko SatoDepartment of Ophthalmology, Matsumoto Dental University, 1780 Gobara, Hirooka, Shiojiri, Nagano 399-0781, JapanTel/Fax +81-263-51-2210Email atsuko.sato@mdu.ac.jpPurpose: To report a case of a full-thickness macular hole (MH) that developed after cryotherapy and intravitreal bevacizumab injection (IVB) to treat a retinal vasoproliferative tumor (VPT).Methods: Case report of a man with a retinal VPT.Results: A 64-year-old Japanese man complained of blurred vision in his right eye. At the initial examination, his best-corrected visual acuity (BCVA) was 20/25 in the right eye and 20/20 in the left eye. Ophthalmoscopy showed a VPT in the lower peripheral retina of the right eye. An exudative retinal detachment and hard exudates were seen around the tumor. Cryotherapy and intravitreal injections of bevacizumab (IVB) were performed. Although the exudative changes were reduced, a MH developed two months after the initial IVB treatment. He underwent 25-gauge pars plana vitrectomy, and the MH was closed. His postoperative BCVA was 20/32 and the VPT was inactive. The reduced BCVA was due to damage of the outer retinal layers.Conclusion: Our findings indicate that cryotherapy and IVB are effective treatments for VPT although the possibility of developing a MH should be considered.Keywords: intravitreal bevacizumab injection, macular hole, optical coherence tomography, vasoproliferative tumor, vitrectomyhttps://www.dovepress.com/macular-hole-formation-in-eye-after-cryotherapy-and-intravitreal-bevac-peer-reviewed-article-IMCRJintravitreal bevacizumab injectionmacular holeoptical coherence tomographyvasoproliferative tumorvitrectomy
spellingShingle Sato A
Fukui E
Ohta K
Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor
International Medical Case Reports Journal
intravitreal bevacizumab injection
macular hole
optical coherence tomography
vasoproliferative tumor
vitrectomy
title Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor
title_full Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor
title_fullStr Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor
title_full_unstemmed Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor
title_short Macular Hole Formation in Eye After Cryotherapy and Intravitreal Bevacizumab Treatment for Vasoproliferative Tumor
title_sort macular hole formation in eye after cryotherapy and intravitreal bevacizumab treatment for vasoproliferative tumor
topic intravitreal bevacizumab injection
macular hole
optical coherence tomography
vasoproliferative tumor
vitrectomy
url https://www.dovepress.com/macular-hole-formation-in-eye-after-cryotherapy-and-intravitreal-bevac-peer-reviewed-article-IMCRJ
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AT ohtak macularholeformationineyeaftercryotherapyandintravitrealbevacizumabtreatmentforvasoproliferativetumor