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Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
PURPOSE: To report on a case that developed an atypical form of occult choroidal neovascularization (CNV) after successful macular hole surgery. METHODS: Visual acuity change, color fundus photographs, fluorescein and indocyanine green angiograms, and optical coherence tomography results were compar...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422150/ https://www.ncbi.nlm.nih.gov/pubmed/22927741 http://dx.doi.org/10.2147/OPTH.S33650 |
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author | Oh, Ha Na Lee, Joo Eun Kim, Hyun Woong Yang, Jae Wook Yun, Il Han |
author_facet | Oh, Ha Na Lee, Joo Eun Kim, Hyun Woong Yang, Jae Wook Yun, Il Han |
author_sort | Oh, Ha Na |
collection | PubMed |
description | PURPOSE: To report on a case that developed an atypical form of occult choroidal neovascularization (CNV) after successful macular hole surgery. METHODS: Visual acuity change, color fundus photographs, fluorescein and indocyanine green angiograms, and optical coherence tomography results were compared throughout the follow-up duration. PATIENTS: A 64-year-old woman with a macular hole in the right eye and drusen in both eyes underwent pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade. One month after the operation she developed occult CNV, in which pigment epithelial detachment and fine retinal pigment epithelial (RPE) layer wrinkles were observed under the completely sealed macular hole. After 3-monthly intravitreal injections of ranibizumab, the lesion did not change significantly. CONCLUSION: CNV can develop after otherwise successful macular hole surgery, especially in patients with pre-existing aging changes in the macula, such as drusen. Care should be taken in such patients, to prevent the development of CNV after macular hole surgery. |
format | Online Article Text |
id | pubmed-3422150 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-34221502012-08-27 Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab Oh, Ha Na Lee, Joo Eun Kim, Hyun Woong Yang, Jae Wook Yun, Il Han Clin Ophthalmol Case Report PURPOSE: To report on a case that developed an atypical form of occult choroidal neovascularization (CNV) after successful macular hole surgery. METHODS: Visual acuity change, color fundus photographs, fluorescein and indocyanine green angiograms, and optical coherence tomography results were compared throughout the follow-up duration. PATIENTS: A 64-year-old woman with a macular hole in the right eye and drusen in both eyes underwent pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade. One month after the operation she developed occult CNV, in which pigment epithelial detachment and fine retinal pigment epithelial (RPE) layer wrinkles were observed under the completely sealed macular hole. After 3-monthly intravitreal injections of ranibizumab, the lesion did not change significantly. CONCLUSION: CNV can develop after otherwise successful macular hole surgery, especially in patients with pre-existing aging changes in the macula, such as drusen. Care should be taken in such patients, to prevent the development of CNV after macular hole surgery. Dove Medical Press 2012 2012-08-10 /pmc/articles/PMC3422150/ /pubmed/22927741 http://dx.doi.org/10.2147/OPTH.S33650 Text en © 2012 Oh et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Case Report Oh, Ha Na Lee, Joo Eun Kim, Hyun Woong Yang, Jae Wook Yun, Il Han Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
title | Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
title_full | Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
title_fullStr | Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
title_full_unstemmed | Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
title_short | Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
title_sort | occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422150/ https://www.ncbi.nlm.nih.gov/pubmed/22927741 http://dx.doi.org/10.2147/OPTH.S33650 |
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