Different treatment modalities for choroidal neovascularization in two eyes of one patient with bilateral type 2A parafoveal telangiectasia

Indian Journal of Ophthalmology

关键词: Anxiety;    cataract;    intraocular pressure;    melatonin;    pain;    topical anesthesia;    Binocular vision;    near point of convergence;    visual symptoms;    Electron microscopy;    intravitreal injection;    light microscopy;    methotrexate;    rabbit;    retina;    Contact lens;    healthcare workers;    health professionals;    Collagen implant;    mitomycin C;    ologen;    trabeculectomy;    Air;    cataract surgery;    inflammation;    rabbit;    Carotid-cavernous fistula;    endovascular treatment;    Graves′ ophthalmopathy;    Macular edema;    optical coherence tomography;    pituitary adenoma;    Choroidal neovascular membrane;    idiopathic macular telangiectasia;    photodynamic therapy;    ranibizumab;   

DOI  :  10.4103/0301-4738.99851

来源: DOAJ

【 摘 要 】

A 60-year-old diabetic man presented with a history of decrease in vision in both eyes since 2 weeks. At presentation, best corrected visual acuity (BCVA) in the right eye (RE) was 20/30 and that in the left eye (LE) was 20/80. The right fundus revealed a grayish reflex, yellowish crystalline deposits and retinal pigment epithelial hyperplasia at the macula. The left fundus showed subretinal fluid and temporal subretinal hemorrhage near a grayish reflex at the macula. A diagnosis in both eyes of idiopathic macular telangiectasia (IMT) type 2A with RE stage 4 and LE stage 5, choroidal neovascularization (CNVM) was made. The patient was treated with photodynamic therapy (PDT) in LE. The visual acuity improved to 20/40 over the next 6 months. At a 4-year follow-up, he developed decreased vision in RE diagnosed as IMT with CNV and was treated with intravitreal ranibizumab. At 6-month follow-up post injection, the vision was 20/40p.

【 授权许可】

Unknown