Intermediate Uveitis Complicated by Peripapillary Choroidal Neovascularization

Choroidal neovascularization (CNV) is a very rare complication of intermediate uveitis with an incidence rate of around 2.0%. This case report examines the pathogenesis and prognosis of peripapillary CNV in a 52-year-old female patient with intermediate uveitis. The patient was initially diagnosed with intermediate uveitis and had two-month-old floaters, 20/25 vision, and snowballs in both eyes. After five years, she underwent a normal ocular checkup, which revealed peripapillary subretinal hemorrhage. The presence of a choroidal neovascular membrane was detected using fluorescein angiography and optical coherence tomography. The patient received monthly intravitreal injections of 1.25 mg of bevacizumab for four months, which improved and stabilized her eyesight, resolved the subretinal hemorrhage, and caused the CNV to recede without recurring.