Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment

PURPOSE: To report a polypoidal vascular choroidopathy clinical case causing cystoid macular edema and the response to Ranibizumab intravitreal treatment. METHODS: A 62-year old caucasian woman was referred by her comprehensive ophthalmologist for retinal avaliation. On presentation best corrected v...

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Main Authors: Miguel Hage Amaro, Aaron Brock Roller, Cesar Tavares Pereira dos Santos Motta, Mario Martins dos Santos Motta
Format: Article
Language:English
Published: Sociedade Brasileira de Oftalmologia 2011-08-01
Series:Revista Brasileira de Oftalmologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802011000400010&lng=en&tlng=en
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author Miguel Hage Amaro
Aaron Brock Roller
Cesar Tavares Pereira dos Santos Motta
Mario Martins dos Santos Motta
author_facet Miguel Hage Amaro
Aaron Brock Roller
Cesar Tavares Pereira dos Santos Motta
Mario Martins dos Santos Motta
author_sort Miguel Hage Amaro
collection DOAJ
description PURPOSE: To report a polypoidal vascular choroidopathy clinical case causing cystoid macular edema and the response to Ranibizumab intravitreal treatment. METHODS: A 62-year old caucasian woman was referred by her comprehensive ophthalmologist for retinal avaliation. On presentation best corrected visual acuity was 20/100 in the left eye and 20/20 in right eye.Anterior segment examination was unremarkable in both eyes. Clinical examination and FA on the left eye demonstrated numerous small drusen and a cystoid macular edema due leakage from any polips in justapapilar region and from polips in the superior arcade vascular region and subretinal fluid and cystic change in the OCT.The right eye had FA normal. The patient refused to submitt a ICGV angiography. The patient was treated by intravitreal ranibizumab injections in the left eye every 4 weeks, 3 injections ,three months. RESULTS: The patient showed resolution both of cystic change and subretinal fluid in the OCT, and the visual acuity in the six months follow-up improved to 20/25. The patient was followed by 18 months at this time and the visual acuity remained stable 20/25. CONCLUSION: We reported a patient case of cystoid macular edema from a polypoidal choroidal vaculopathy that responded well to ranibizumab intravitreal injection as monotheraphy with disappearance of the initial subretinal fluid and cystic change in OCT follow-up and stop the polips.
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spelling doaj.art-bcadab3af3954aae92f3731443c7c0b52022-12-22T03:41:09ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512011-08-0170425225610.1590/S0034-72802011000400010S0034-72802011000400010Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatmentMiguel Hage AmaroAaron Brock RollerCesar Tavares Pereira dos Santos MottaMario Martins dos Santos MottaPURPOSE: To report a polypoidal vascular choroidopathy clinical case causing cystoid macular edema and the response to Ranibizumab intravitreal treatment. METHODS: A 62-year old caucasian woman was referred by her comprehensive ophthalmologist for retinal avaliation. On presentation best corrected visual acuity was 20/100 in the left eye and 20/20 in right eye.Anterior segment examination was unremarkable in both eyes. Clinical examination and FA on the left eye demonstrated numerous small drusen and a cystoid macular edema due leakage from any polips in justapapilar region and from polips in the superior arcade vascular region and subretinal fluid and cystic change in the OCT.The right eye had FA normal. The patient refused to submitt a ICGV angiography. The patient was treated by intravitreal ranibizumab injections in the left eye every 4 weeks, 3 injections ,three months. RESULTS: The patient showed resolution both of cystic change and subretinal fluid in the OCT, and the visual acuity in the six months follow-up improved to 20/25. The patient was followed by 18 months at this time and the visual acuity remained stable 20/25. CONCLUSION: We reported a patient case of cystoid macular edema from a polypoidal choroidal vaculopathy that responded well to ranibizumab intravitreal injection as monotheraphy with disappearance of the initial subretinal fluid and cystic change in OCT follow-up and stop the polips.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802011000400010&lng=en&tlng=enDoenças da coróideVasculopatia polipoidal coroidianaEdema macularInjeçõesAnticorpos monoclonaisRelato de caso
spellingShingle Miguel Hage Amaro
Aaron Brock Roller
Cesar Tavares Pereira dos Santos Motta
Mario Martins dos Santos Motta
Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
Revista Brasileira de Oftalmologia
Doenças da coróide
Vasculopatia polipoidal coroidiana
Edema macular
Injeções
Anticorpos monoclonais
Relato de caso
title Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
title_full Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
title_fullStr Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
title_full_unstemmed Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
title_short Polypoidal choroidal vasculopathy causing cystoid macular edema and the response to Ranibizumb intravitreal treatment
title_sort polypoidal choroidal vasculopathy causing cystoid macular edema and the response to ranibizumb intravitreal treatment
topic Doenças da coróide
Vasculopatia polipoidal coroidiana
Edema macular
Injeções
Anticorpos monoclonais
Relato de caso
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802011000400010&lng=en&tlng=en
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