Intermediate uveitis complicated by choroidal granuloma following subretinal neovascular membrane: case reports

Arquivos Brasileiros de Oftalmologia

Carlos Alexandre De Amorim Garcia²  Paulo De Souza Segundo²  Carlos Alexandre De Amorim Garcia Filho¹  Ana Cláudia Medeiros De Amorim Garcia¹ 

[1] ,Universidade Federal do Rio Grande do Norte Ophthalmology Department Natal RN ,Brazil

关键词: Choroidal neovascularization;    Intermediate uveitis;    Visual acuity;    Angiogenesis inhibitors;    Granuloma;    Case reports;    Neovascularização coroidal;    Uveíte intermediária;    Acuidade visual;    Inibidores de angiogênese;    Granuloma;    Relatos de casos;   

DOI  :  10.1590/S0004-27492008000600026

来源: SciELO

【 摘 要 】

Choroidal neovascularization is a very rare complication in intermediate uveitis. A 27-year-old female patient diagnosed with intermediate uveitis two years ago. She presented with 20/200 visual acuity, snowballs, snowbanks, and macular cystoid edema in the right eye observed by fluorescein and optical coherence tomography (OCT). Photocoagulation was performed in the inferior peripheral retina in both eyes. The patient refused to undergo the prescribed clinical treatment. She returned twelve months later presenting with count fingers visual acuity, dry retina and subretinal macular pigmented granuloma observed on OCT. A 15-year-old female patient with decreased visual acuity of 20/400 in the right eye for eight days. She presented with bilateral vasculitis and papilitis, in the right eye, hemorrhage and extramacular subretinal neovascular membrane were observed on fluorescein and OCT. She was treated with 40 mg prednisone and intravitreous injection of 1.25 mg bevacizumab. Five months later she presented with 20/50 visual acuity, and extramacular granuloma observed on OCT. The formation of subretinal granuloma in intermediate uveitis is a possibility when complicated by subretinal neovascular membrane.

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