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Acute loss of vision during therapy of chronic hepatitis C

A patient undergoing combined therapy of chronic hepatitis C with pegylated interferon-α-2a (PEG-IFN-α-2a) and ribavirin suddenly developed severe loss of visual acuity. A central vein occlusion with macular edema was found and intravitreal injections of bevacizumab were initiated. Retinal occlusion...

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Published in:Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 2011-06, Vol.108 (6), p.561
Main Authors: Salgado, J P, Khoramnia, R, Maier, M M, Lohmann, C P, Winkler von Mohrenfels, C
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container_title Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
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creator Salgado, J P
Khoramnia, R
Maier, M M
Lohmann, C P
Winkler von Mohrenfels, C
description A patient undergoing combined therapy of chronic hepatitis C with pegylated interferon-α-2a (PEG-IFN-α-2a) and ribavirin suddenly developed severe loss of visual acuity. A central vein occlusion with macular edema was found and intravitreal injections of bevacizumab were initiated. Retinal occlusion is a known complication of therapy with pegylated interferon-α-2a and ribavirin. An interdisciplinary assessment of patients treated for a chronic hepatitis C as well as an early anti-VEGF administration can be helpful in the therapy of this complication of chronic hepatitis C.
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ispartof Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2011-06, Vol.108 (6), p.561
issn 1433-0423
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recordid cdi_pubmed_primary_21271253
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subjects Adult
Antibodies, Monoclonal, Humanized - therapeutic use
Antiviral Agents - adverse effects
Antiviral Agents - therapeutic use
Bevacizumab
Drug Therapy, Combination
Fluorescein Angiography
Hepatitis C, Chronic - drug therapy
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Interferon-alpha - adverse effects
Interferon-alpha - therapeutic use
Intravitreal Injections
Macular Edema - chemically induced
Macular Edema - drug therapy
Male
Polyethylene Glycols - adverse effects
Polyethylene Glycols - therapeutic use
Recombinant Proteins - adverse effects
Recombinant Proteins - therapeutic use
Retinal Vein Occlusion - chemically induced
Retinal Vein Occlusion - drug therapy
Ribavirin - adverse effects
Ribavirin - therapeutic use
Tomography, Optical Coherence
Vision, Low - chemically induced
Vision, Low - diagnosis
Visual Acuity - drug effects
title Acute loss of vision during therapy of chronic hepatitis C
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