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Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis

OBJECTIVE: Inflammatory choroidal neovascularization (i-CNV) is an infrequent but sight-threatening complication of posterior uveitis. Although it can occur in a wide range of infectious and non-infectious uveitides, presence of simultaneous bilateral i-CNV is rare. In this report, we present a uniq...

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Autores principales: Sood, Gitanjli, Samanta, Ramanuj, Kumawat, Devesh, Nishant, Prateek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284432/
https://www.ncbi.nlm.nih.gov/pubmed/35912124
http://dx.doi.org/10.3205/oc000199
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author Sood, Gitanjli
Samanta, Ramanuj
Kumawat, Devesh
Nishant, Prateek
author_facet Sood, Gitanjli
Samanta, Ramanuj
Kumawat, Devesh
Nishant, Prateek
author_sort Sood, Gitanjli
collection PubMed
description OBJECTIVE: Inflammatory choroidal neovascularization (i-CNV) is an infrequent but sight-threatening complication of posterior uveitis. Although it can occur in a wide range of infectious and non-infectious uveitides, presence of simultaneous bilateral i-CNV is rare. In this report, we present a unique case of bilateral simultaneous i-CNV in a young patient of healed tubercular serpiginous-like choroiditis. METHOD: A 20-year-old male presented with recent worsening of vision in the right eye for one month. Fundus examination revealed bilateral multifocal healed choroiditis lesions with right eye tiny subfoveal hemorrhage raising the suspicion of an underlying choroidal neovascularization. Fundus fluorescein angiography and optical coherence tomography confirmed presence of choroidal neovascular membrane in both eyes. RESULT: Resolution of activity was noted in both eyes after bilateral sequential intravitreal bevacizumab injections. CONCLUSION: Inflammatory choroidal neovascularization may be seen in patients with healed tubercular serpiginous-like choroiditis, after a long period of quiescence. Simultaneous bilateral presentation is rare but possible, requiring mandatory multimodal imaging of both eyes under high index of suspicion. Early institution of anti-vascular endothelial growth factor may salvage optimum vision in such a scenario.
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spelling pubmed-92844322022-07-28 Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis Sood, Gitanjli Samanta, Ramanuj Kumawat, Devesh Nishant, Prateek GMS Ophthalmol Cases Article OBJECTIVE: Inflammatory choroidal neovascularization (i-CNV) is an infrequent but sight-threatening complication of posterior uveitis. Although it can occur in a wide range of infectious and non-infectious uveitides, presence of simultaneous bilateral i-CNV is rare. In this report, we present a unique case of bilateral simultaneous i-CNV in a young patient of healed tubercular serpiginous-like choroiditis. METHOD: A 20-year-old male presented with recent worsening of vision in the right eye for one month. Fundus examination revealed bilateral multifocal healed choroiditis lesions with right eye tiny subfoveal hemorrhage raising the suspicion of an underlying choroidal neovascularization. Fundus fluorescein angiography and optical coherence tomography confirmed presence of choroidal neovascular membrane in both eyes. RESULT: Resolution of activity was noted in both eyes after bilateral sequential intravitreal bevacizumab injections. CONCLUSION: Inflammatory choroidal neovascularization may be seen in patients with healed tubercular serpiginous-like choroiditis, after a long period of quiescence. Simultaneous bilateral presentation is rare but possible, requiring mandatory multimodal imaging of both eyes under high index of suspicion. Early institution of anti-vascular endothelial growth factor may salvage optimum vision in such a scenario. German Medical Science GMS Publishing House 2022-05-20 /pmc/articles/PMC9284432/ /pubmed/35912124 http://dx.doi.org/10.3205/oc000199 Text en Copyright © 2022 Sood et al. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Sood, Gitanjli
Samanta, Ramanuj
Kumawat, Devesh
Nishant, Prateek
Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
title Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
title_full Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
title_fullStr Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
title_full_unstemmed Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
title_short Simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
title_sort simultaneous bilateral inflammatory choroidal neovascularization in a case of healed serpiginous-like choroiditis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284432/
https://www.ncbi.nlm.nih.gov/pubmed/35912124
http://dx.doi.org/10.3205/oc000199
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