Journal List > J Korean Ophthalmol Soc > v.60(12) > 1139609

J Korean Ophthalmol Soc. 2019 Dec;60(12):1369-1373. Korean.
Published online Dec 17, 2019.  https://doi.org/10.3341/jkos.2019.60.12.1369
©2019 The Korean Ophthalmological Society
Anti-Vascular Endothelial Growth Factor Therapy for Choroidal Neovascularization Secondary to Optic Nerve Head Drusen
Ka Hee Park, MD
Nune Eye Hospital, Seoul, Korea.

Address reprint requests to Ka Hee Park, MD. Nune Eye Hospital, #404 Seolleung-ro, Gangnam-gu, Seoul 06198, Korea. Tel: 82-2-2086-7750, Fax: 82-2-2086-7710, Email: ophkh@hanmail.net
Received Jun 16, 2019; Revised Oct 24, 2019; Accepted Dec 06, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

To describe a patient with optic nerve head drusen who showed improved retinal hemorrhage and visual acuity following intravitreal anti-vascular endothelial growth factor (bevacizumab) injection.

Case summary

A 53-year-old woman with no underlying disease presented with sudden vision loss in her left eye. Her best-corrected visual acuity was 1.0 in the right eye and 0.8 in the left eye; the intraocular pressure was 15 mmHg in both eyes. Anterior segment examination revealed no abnormal findings. Fundus examination showed subretinal hemorrhage and serous retinal detachment in the left eye. Fluorescein angiography and indocyanine green fundus examination revealed hyperfluorescence near the optic disc. The patient was diagnosed with choroidal neovascularization of the left eye secondary to optic nerve head drusen; intravitreal bevacizumab injection was then performed. Three weeks later, the patient showed improved retinal hemorrhage.

Conclusions

Intravitreal anti-vascular endothelial growth factor injection may be an effective treatment for choroidal neovascularization associated with optic nerve head drusen.

Keywords: Anti-vascular endothelial growth factor; Bevacizumab; Choroidal neovascularization; Intravitreal injection; Optic nerve head drusen

Figures


Figure 1
Visual field tests of both eyes at the first visit.
Click for larger image


Figure 2
Fundus photography of both eyes. (A) Pre-treatment and (B) post-treatment fundus photography at 3 weeks after intravitrealbevacizumab injection.
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Figure 3
Optical coherence tomography(OCT) and retinal angiograms of the lefteye. (A) A hyperreflective subretinal masslikelesion (white arrow) is buried at opticdisc and subretinal fluid extended fromthe optic nerve head to the macula andpigment epithelial detachment (blue arrow)is observed on OCT. (B) Fluoresceinand Indocyanine green angiogram revealedround small hyperfluorescencewithin the hypofluorescence area of subretinalhemorrhage.
Click for larger image

Notes

Conflicts of Interest:The authors have no conflicts to disclose.

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