scholarly journals Effect of Epiretinal Membrane Peeling on Intravitreal Aflibercept Therapy Response for Polypoidal Choroidal Vasculopathy: A Case Report

2018 ◽  
Author(s):  
Aslı Kırmacı
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuelin Wang ◽  
Zhe Chen ◽  
Weihong Yu ◽  
Youxin Chen

Abstract Background Regular membrane peeling vitrectomy for epiretinal membrane (ERM) patients seldom causes large pigment epithelial detachment (PED). We presented an unusual case of the activation of quiescent polypoidal choroidal vasculopathy (PCV) after membrane peeling vitrectomy for ERM, with an uneven therapeutic process. Case presentation A 75-year-old female patient complained of metamorphopsia in her left eye for 2 years. Her best-corrected visual acuity was 20/160 with a moderate nuclear cataract. An irregular ERM and slight PED were shown in optical coherence tomography (OCT). No obvious orange-red lesion was detected. The patient underwent vitrectomy + ERM peeling + cataract surgery. After the operation, large PED emerged, and indocyanine green angiography (ICGA) confirmed PCV. Four monthly injections of intravitreal ranibizumab were administered, but PED persisted. After focal laser therapy targeted to the polyps combined with ranibizumab treatment, PED was absorbed. Conclusions Careful evaluation for PCV before membrane peeling vitrectomy for ERM is important, as indolent PCV may be activated postoperatively. Anti-VEGF therapy accompanied by laser photocoagulation may be more effective for PCV polyps located away from the fovea.


2016 ◽  
Vol 1 (1) ◽  
pp. 1-4
Author(s):  
Rahul Gupta ◽  
Shairin Jahan ◽  
Gargi Nagpal ◽  
Naheed Akhtar ◽  
Abdul Waris

2018 ◽  
Vol 136 (7) ◽  
pp. 786 ◽  
Author(s):  
Won Ki Lee ◽  
Tomohiro Iida ◽  
Yuichiro Ogura ◽  
Shih-Jen Chen ◽  
Tien Yin Wong ◽  
...  

2015 ◽  
Vol 56 (11) ◽  
pp. 1728 ◽  
Author(s):  
Heon Yang ◽  
Hye Min Jeon ◽  
Sang Won Kim ◽  
Hee Seong Yoon ◽  
Woo Seok Choae

2017 ◽  
Vol Volume 11 ◽  
pp. 797-802 ◽  
Author(s):  
Akira Arakawa ◽  
Maiko Inoue ◽  
Shimpei Sato ◽  
Shin Yamane ◽  
Kazuaki Kadonosono

2016 ◽  
Vol 101 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Erina Daizumoto ◽  
Yoshinori Mitamura ◽  
Hiroki Sano ◽  
Kei Akaiwa ◽  
Masanori Niki ◽  
...  

2016 ◽  
Vol 165 ◽  
pp. 1-6 ◽  
Author(s):  
Han Joo Cho ◽  
Kyoung Min Kim ◽  
Hyoung Seok Kim ◽  
Jung Il Han ◽  
Chul Gu Kim ◽  
...  

2017 ◽  
Vol 8 (1) ◽  
pp. 221-231 ◽  
Author(s):  
James G. Wong ◽  
Katherine Yu Qian

Purpose: Angioid streaks (AS) are dehiscences in Bruch’s membrane that may be idiopathic or associated with numerous systemic illnesses. Polypoidal choroidal vasculopathy (PCV) is an underdiagnosed exudative chorioretinopathy often characterised by serosanguineous detachments of the pigmented epithelium. The use of the anti-VEGF agents ranibizumab and aflibercept in the management of PCV secondary to AS has not been previously documented. We report 3 patients with active PCV secondary to AS, 1 of which had a family history of PCV secondary to AS, not previously reported in the literature. All patients were symptomatic and treated with intravitreal anti-VEGF therapy with and without combination photodynamic therapy (PDT). Methods: This is a long-term retrospective case review of 3 eyes of 3 patients with AS and clinical features of PCV. The patients were examined using fundoscopy, spectral domain optical coherence tomography, fluorescein angiography, and indocyanine green angiography. All patients were managed with intravitreal anti-VEGF using a treat-and-extend protocol according to specific retreatment criteria. One patient had 1 session of PDT in combination with anti-VEGF injections. Results: The mean follow-up time in all patients was 4 years. In all 3 cases, the treatment resulted in improved visual acuity and regression of active PCV lesions with a longer duration between injections. Conclusion: The treat-and-extend protocol with intravitreal aflibercept or ranibizumab with or without PDT is effective and safe for PCV secondary to AS.


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