Intravitreal ranibizumab for type 3 choroidal neovascularization complicating adult onset foveomacular vitelliform dystrophy

G. Querques, L. Querques, N. Leveziel, F. Bandello, E. H. Souied

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To describe the results obtained with intravitreal ranibizumab injections in a patient with adult onset foveomacular vitelliform dystrophy (AOFVD) complicated by Type 3 choroidal neovascularization (CNV). Methods: A 78-year old man diagnosed with AOFVD presented at our department for decreased vision in his left eye (LE) (20/80). Upon a complete ophthalmologic examination, including fluorescein angiography, indocyanine green angiography, and spectral-domain optical coherence tomography, the patient was diagnosed with Type 3 CNV. Three monthly injections of ranibizumab 0.05 ml/0.5 mg were administered intravitreally without complications. Results: After the first injection, visual acuity of the LE improved (20/64) and regression of the Type 3 CNV was observed by fluorescein angiography, indocyanine green angiography and OCT. Six months after the final ranibizumab injection, a more-or-less complete resolution of the exudative retinal changes was observed. Conclusions: Type 3 CNV may be associated with AOFVD. Intravitreal ranibizumab may represent a possible therapeutic option in this unusual context.

Original languageEnglish
JournalJournal Francais d'Ophtalmologie
Volume36
Issue number1
DOIs
Publication statusPublished - Jan 2013

Keywords

  • Adult onset foveomacular vitelliform dystrophy
  • Age-related macular degeneration
  • Fluorescein angiography
  • Indocyanine green angiography
  • Lucentis
  • Ranibizumab
  • Retinal angiomatous proliferation
  • Retinal-choroidal anastomosis
  • Spectral-domain optical coherence tomography
  • Type 3 choroidal neovascularization
  • Vitelliform macular dystrophy

ASJC Scopus subject areas

  • Ophthalmology

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