Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks

In this study, we reported the clinical results of switching from ranibizumab to aflibercept for the treatment of an insufficient responder with choroidal neovascularization (CNV) secondary to angioid streaks (AS). A 39-year-old female patient with CNV secondary to AS had bilateral persistent intrar...

Full description

Bibliographic Details
Main Authors: Ebru Esen, Selçuk Sizmaz, Nihal Demircan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=7;spage=616;epage=618;aulast=Esen
_version_ 1819170917362696192
author Ebru Esen
Selçuk Sizmaz
Nihal Demircan
author_facet Ebru Esen
Selçuk Sizmaz
Nihal Demircan
author_sort Ebru Esen
collection DOAJ
description In this study, we reported the clinical results of switching from ranibizumab to aflibercept for the treatment of an insufficient responder with choroidal neovascularization (CNV) secondary to angioid streaks (AS). A 39-year-old female patient with CNV secondary to AS had bilateral persistent intraretinal and subretinal fluid on the optical coherence tomography despite prior intravitreal 0.5 mg ranibizumab injections. The therapy was switched to intravitreal injection of aflibercept. The patient received a loading dose of three intravitreal 2 mg aflibercept injections at 4-week intervals for both eyes. Morphological and functional effects were observed as early as 1-week after the first injection. After the third aflibercept injection, her visual acuity improved, intraretinal and subretinal fluid resolved, and central macular thickness reduced in both eyes. This is an early, but encouraging and promising result indicating that aflibercept might be a good alternative management for CNV secondary to AS that is insufficiently responding to prior ranibizumab injections.
first_indexed 2024-12-22T19:43:01Z
format Article
id doaj.art-fdd6340d0e6c40e2a2b7795167d61c04
institution Directory Open Access Journal
issn 0301-4738
1998-3689
language English
last_indexed 2024-12-22T19:43:01Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj.art-fdd6340d0e6c40e2a2b7795167d61c042022-12-21T18:14:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892015-01-0163761661810.4103/0301-4738.167121Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaksEbru EsenSelçuk SizmazNihal DemircanIn this study, we reported the clinical results of switching from ranibizumab to aflibercept for the treatment of an insufficient responder with choroidal neovascularization (CNV) secondary to angioid streaks (AS). A 39-year-old female patient with CNV secondary to AS had bilateral persistent intraretinal and subretinal fluid on the optical coherence tomography despite prior intravitreal 0.5 mg ranibizumab injections. The therapy was switched to intravitreal injection of aflibercept. The patient received a loading dose of three intravitreal 2 mg aflibercept injections at 4-week intervals for both eyes. Morphological and functional effects were observed as early as 1-week after the first injection. After the third aflibercept injection, her visual acuity improved, intraretinal and subretinal fluid resolved, and central macular thickness reduced in both eyes. This is an early, but encouraging and promising result indicating that aflibercept might be a good alternative management for CNV secondary to AS that is insufficiently responding to prior ranibizumab injections.http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=7;spage=616;epage=618;aulast=EsenAfliberceptangioid streakschoroidal neovascularization
spellingShingle Ebru Esen
Selçuk Sizmaz
Nihal Demircan
Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
Indian Journal of Ophthalmology
Aflibercept
angioid streaks
choroidal neovascularization
title Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
title_full Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
title_fullStr Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
title_full_unstemmed Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
title_short Intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
title_sort intravitreal aflibercept for management of subfoveal choroidal neovascularization secondary to angioid streaks
topic Aflibercept
angioid streaks
choroidal neovascularization
url http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=7;spage=616;epage=618;aulast=Esen
work_keys_str_mv AT ebruesen intravitrealafliberceptformanagementofsubfovealchoroidalneovascularizationsecondarytoangioidstreaks
AT selcuksizmaz intravitrealafliberceptformanagementofsubfovealchoroidalneovascularizationsecondarytoangioidstreaks
AT nihaldemircan intravitrealafliberceptformanagementofsubfovealchoroidalneovascularizationsecondarytoangioidstreaks