Choroidal neovascularization associated with sympathetic ophthalmia: case report

Arquivos Brasileiros de Oftalmologia

Raul Nunes Galvarro Vianna¹  Pinar Özdal¹  João Pessoa Souza Filho¹  Jean Deschênes¹ 

[1] ,McGill UniversityMontreal,Canada

关键词: Ophthalmia;    sympathetic;    Choroidal neovascularization;    Immunosuppressive agents;    Wound healing;    Oftalmia simpática;    Neovascularização coroidal;    Drogas imunossupressoras;    Cicatrização de feridas;   

DOI  :  10.1590/S0004-27492005000300024

来源: SciELO

【 摘 要 】

A 7-year-old boy with sympathetic ophthalmia secondary to penetrating ocular trauma developed choroidal neovascularization in the macular region of the sympathizing eye. Posterior segment biomicroscopy disclosed a single, round, small, slightly elevated yellow-white lesion temporal to the fovea, linked to the temporal edge of the optic disc by a fibrotic band. On fluorescein angiography the round lesion showed a gradual hyperfluorescence, with late staining and leakage, and was interpreted as a fibrovascular scar from previous choroidal neovascularization. Despite intense immunosuppressive therapy, the patient's final visual acuity was 20/400. Although rarely associated with sympathetic ophthalmia, choroidal neovascularization and its cicatricial stages can occur and compromise the visual prognosis of an already debilitated eye. The best course of treatment for choroidal neovascularization in these types of cases has not yet been determined.

【 授权许可】

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