Photodynamic therapy and intravitreal triamcinolone for a subretinal neovascularization in bilateral idiopathic juxtafoveal telangiectasis

To report combined treatment of photodynamic therapy (PDT) with verteporfin and intravitreal triamcinolone acetonide injection for subfoveal neovascularization secondary to bilateral idiopathic juxtafoveal telangiectasis. Interventional case report. A patient with a subfoveal neovascularization seco...

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Bibliographic Details
Published in:American journal of ophthalmology 2004-11, Vol.138 (5), p.884-885
Main Authors: Smithen, Lindsay M., Spaide, Richard F.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Diseases of the eye
Drug Therapy, Combination
Fluorescein Angiography
Humans
Injections
Macular degeneration
Male
Medical imaging
Medical sciences
Middle Aged
Older people
Patients
Photochemotherapy
Photodynamic therapy
Photosensitizing Agents - therapeutic use
Porphyrins - therapeutic use
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Retinal Diseases - complications
Retinal Diseases - drug therapy
Retinal Neovascularization - drug therapy
Retinal Neovascularization - etiology
Retinal Vessels - drug effects
Retinal Vessels - pathology
Telangiectasis - complications
Telangiectasis - drug therapy
Triamcinolone Acetonide - therapeutic use
Visual Acuity
Vitreous Body
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Summary:To report combined treatment of photodynamic therapy (PDT) with verteporfin and intravitreal triamcinolone acetonide injection for subfoveal neovascularization secondary to bilateral idiopathic juxtafoveal telangiectasis. Interventional case report. A patient with a subfoveal neovascularization secondary to bilateral idiopathic juxtafoveal telangiectasis was treated with PDT plus an intravitreal injection of 4 mg of triamcinolone acetonide. Leakage in the late-phase of fluorescein angiography resolved with attenuation of telangiectatic vessels and improvement in visual acuity from 20/200 to 20/50. At 9 months post-treatment, recurrent leakage was treated with repeat PDT and intravitreal triamcinolone. One year after initial presentation, visual acuity was 20/60 with no leakage on fluorescein. Combined treatment with PDT and intravitreal triamcinolone acetonide resulted in regression of a subfoveal neovascular membrane and improvement in visual acuity during the course of follow-up.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2004.05.073