Management of refractory Leber miliary aneurysms with macular edema: a case report
Management of refractory Leber miliary aneurysms with macular edema: a case report
Purpose: To report a case study of a patient with Leber miliary aneurysms with macular edema refractory to various treatment modalities.
Methods: This is a retrospective study of a 35-year-old man who had multiple Leber miliary aneurysms with exudation and edema involving the macula. The patient's data were collected from case notes over a 3-year period of management of the condition.
Results: The patient's Leber miliary aneurysm with exudation and macular edema was refractory to various treatment modalities, including laser photocoagulation, anti-vascular endothelial growth factor injections, photodynamic therapy, and cryotherapy. However, recently, the patient showed a good response to treatment with intravitreal dexamethasone implants. His macular edema and vision have improved with these injections.
Conclusion: Intravitreal dexamethasone implants should be considered along with other treatment options when planning treatment of Leber miliary aneurysms. However, the long-term stability of the disease with these injections is not known
13-16
Tiroumal, Sambath
e6805885-fa3b-47a0-bdc1-600f3466ad5c
Lotery, A
5ecc2d2d-d0b4-468f-ad2c-df7156f8e514
2014
Tiroumal, Sambath
e6805885-fa3b-47a0-bdc1-600f3466ad5c
Lotery, A
5ecc2d2d-d0b4-468f-ad2c-df7156f8e514
Tiroumal, Sambath and Lotery, A
(2014)
Management of refractory Leber miliary aneurysms with macular edema: a case report.
Retinal Cases & Brief Reports, 8 (1), Winter Issue, .
(doi:10.1097/ICB.0b013e3182a0e48f).
(PMID:25372199)
Abstract
Purpose: To report a case study of a patient with Leber miliary aneurysms with macular edema refractory to various treatment modalities.
Methods: This is a retrospective study of a 35-year-old man who had multiple Leber miliary aneurysms with exudation and edema involving the macula. The patient's data were collected from case notes over a 3-year period of management of the condition.
Results: The patient's Leber miliary aneurysm with exudation and macular edema was refractory to various treatment modalities, including laser photocoagulation, anti-vascular endothelial growth factor injections, photodynamic therapy, and cryotherapy. However, recently, the patient showed a good response to treatment with intravitreal dexamethasone implants. His macular edema and vision have improved with these injections.
Conclusion: Intravitreal dexamethasone implants should be considered along with other treatment options when planning treatment of Leber miliary aneurysms. However, the long-term stability of the disease with these injections is not known
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Published date: 2014
Organisations:
Faculty of Medicine
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Local EPrints ID: 390426
URI: http://eprints.soton.ac.uk/id/eprint/390426
ISSN: 1935-1089
PURE UUID: f7e8686a-fb52-451b-9477-8d2f901ce999
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Date deposited: 01 Apr 2016 14:27
Last modified: 15 Mar 2024 03:16
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Author:
Sambath Tiroumal
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