Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab

We report a case of successful management of intravitreal injections of anti-vascular endothelial growth factor antibody bevacizumab in two unusual complications, preretinal neovascularization and vitreous hemorrhage, secondary to a combined hamartoma of the retina and retinal pigment epithelium (CH...

Full description

Bibliographic Details
Main Authors: Tsung-Ying Tsai, Kuan-Jen Chen, An-Ning Chao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=4;spage=556;epage=559;aulast=Tsai
_version_ 1797226158730772480
author Tsung-Ying Tsai
Kuan-Jen Chen
An-Ning Chao
author_facet Tsung-Ying Tsai
Kuan-Jen Chen
An-Ning Chao
author_sort Tsung-Ying Tsai
collection DOAJ
description We report a case of successful management of intravitreal injections of anti-vascular endothelial growth factor antibody bevacizumab in two unusual complications, preretinal neovascularization and vitreous hemorrhage, secondary to a combined hamartoma of the retina and retinal pigment epithelium (CHRRPE). A male pediatric patient suffered from decreased vision in the right eye at 5-year-old. His ophthalmologic examination revealed a CHRRPE involving the superior area of the optic disc and macula in the right eye. The patient's family history and neurological examinations of tuberous sclerosis were absent. While no lesion growth was observed over time, preretinal vascularization and recurrent nonclearing hemorrhage occurred 2 years after the initial presentation. The patient was successfully managed with two intravitreal injections of bevacizumab. No recurrences of vitreous hemorrhage were observed at a 7-year post-treatment follow-up. Intravitreal injections of bevacizumab were safe and effective in the management of uncommon complications of preretinal neovascularization and vitreous hemorrhage of CHRRPE in a pediatric patient in long-term follow-up.
first_indexed 2024-04-24T14:20:28Z
format Article
id doaj.art-6cb06e88160243c3af88e1ae8563718f
institution Directory Open Access Journal
issn 2211-5056
2211-5072
language English
last_indexed 2024-04-24T14:20:28Z
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Taiwan Journal of Ophthalmology
spelling doaj.art-6cb06e88160243c3af88e1ae8563718f2024-04-03T06:45:05ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722023-01-0113455655910.4103/2211-5056.364566Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumabTsung-Ying TsaiKuan-Jen ChenAn-Ning ChaoWe report a case of successful management of intravitreal injections of anti-vascular endothelial growth factor antibody bevacizumab in two unusual complications, preretinal neovascularization and vitreous hemorrhage, secondary to a combined hamartoma of the retina and retinal pigment epithelium (CHRRPE). A male pediatric patient suffered from decreased vision in the right eye at 5-year-old. His ophthalmologic examination revealed a CHRRPE involving the superior area of the optic disc and macula in the right eye. The patient's family history and neurological examinations of tuberous sclerosis were absent. While no lesion growth was observed over time, preretinal vascularization and recurrent nonclearing hemorrhage occurred 2 years after the initial presentation. The patient was successfully managed with two intravitreal injections of bevacizumab. No recurrences of vitreous hemorrhage were observed at a 7-year post-treatment follow-up. Intravitreal injections of bevacizumab were safe and effective in the management of uncommon complications of preretinal neovascularization and vitreous hemorrhage of CHRRPE in a pediatric patient in long-term follow-up.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=4;spage=556;epage=559;aulast=Tsaibevacizumabcombined hamartoma of the retina and retinal pigment epitheliumretinal neovascularizationvitreous hemorrhage
spellingShingle Tsung-Ying Tsai
Kuan-Jen Chen
An-Ning Chao
Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
Taiwan Journal of Ophthalmology
bevacizumab
combined hamartoma of the retina and retinal pigment epithelium
retinal neovascularization
vitreous hemorrhage
title Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
title_full Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
title_fullStr Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
title_full_unstemmed Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
title_short Seven-year follow-up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
title_sort seven year follow up of a pediatric patient with combined hamartoma of retina and retinal pigment epithelium complicating with preretinal neovascularization and vitreous hemorrhage treated with intravitreal injections of bevacizumab
topic bevacizumab
combined hamartoma of the retina and retinal pigment epithelium
retinal neovascularization
vitreous hemorrhage
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2023;volume=13;issue=4;spage=556;epage=559;aulast=Tsai
work_keys_str_mv AT tsungyingtsai sevenyearfollowupofapediatricpatientwithcombinedhamartomaofretinaandretinalpigmentepitheliumcomplicatingwithpreretinalneovascularizationandvitreoushemorrhagetreatedwithintravitrealinjectionsofbevacizumab
AT kuanjenchen sevenyearfollowupofapediatricpatientwithcombinedhamartomaofretinaandretinalpigmentepitheliumcomplicatingwithpreretinalneovascularizationandvitreoushemorrhagetreatedwithintravitrealinjectionsofbevacizumab
AT anningchao sevenyearfollowupofapediatricpatientwithcombinedhamartomaofretinaandretinalpigmentepitheliumcomplicatingwithpreretinalneovascularizationandvitreoushemorrhagetreatedwithintravitrealinjectionsofbevacizumab