Background: To report a patient with angioid streaks (ASs) and coincident multiple evanescent white dot syndrome (MEWDS) who developed choroidal neovascularization (CNV). Case presentation: A 20-year-old woman presented with reduced vision (20/100) in her left eye (LE). Based on a complete ophthalmologic examination the patient was diagnosed with ASs and coincident MEWDS. Two weeks later best-corrected visual acuity (BCVA) improved up to 20/25 and the MEWDS findings almost disappeared. Two months later BCVA dropped again (20/100) due to the development of CNV which was treated by a single intravitreal injection of ranibizumab (0.5 mg/0.05 mL). One month after this BCVA improved up to 20/40, and there was regression of the CNV. There was no need for retreatment at the last follow-up visit, 1 year after the ranibizumab injection, when the patient showed further recovery of BCVA up to 20/25. Conclusions: In this case of ASs, MEWDS completely resolved after 2 weeks, but 2 months later CNV developed. A single intravitreal injection of ranibizumab had a long-lasting effect. Larger series are necessary to clarify the pathogenesis of CNV in such cases and the role of intravitreal ranibizumab.
Intravitreal ranibizumab for choroidal neovascularization in a patient with angioid streaks and multiple evanescent white dots / A. Pece, D. Allegrini, S. Kontadakis, G. Querques, L. Rossetti. - In: BMC OPHTHALMOLOGY. - ISSN 1471-2415. - 16:1(2016 Jul), pp. 122.1-122.5.
|Titolo:||Intravitreal ranibizumab for choroidal neovascularization in a patient with angioid streaks and multiple evanescent white dots|
ALLEGRINI, DAVIDE (Corresponding)
ROSSETTI, LUCA MARIO (Ultimo)
|Parole Chiave:||Angioid streaks; Choroidal neovascularization; Multiple evanescent white dots; Ranibizumab; Angiogenesis Inhibitors; Angioid Streaks; Choroidal Neovascularization; Female; Humans; Intravitreal Injections; Ranibizumab; Retinal Diseases; Treatment Outcome; Young Adult; Ophthalmology|
|Settore Scientifico Disciplinare:||Settore MED/30 - Malattie Apparato Visivo|
|Data di pubblicazione:||lug-2016|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1186/s12886-016-0307-0|
|Appare nelle tipologie:||01 - Articolo su periodico|