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Management of refractory Leber miliary aneurysms with macular edema: a case report

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
1935-1089
13-16
Tiroumal, Sambath
e6805885-fa3b-47a0-bdc1-600f3466ad5c
Lotery, A
5ecc2d2d-d0b4-468f-ad2c-df7156f8e514
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, 13-16. (doi:10.1097/ICB.0b013e3182a0e48f). (PMID:25372199)

Record type: Article

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

Identifiers

Local EPrints ID: 390426
URI: http://eprints.soton.ac.uk/id/eprint/390426
ISSN: 1935-1089
PURE UUID: f7e8686a-fb52-451b-9477-8d2f901ce999
ORCID for A Lotery: ORCID iD orcid.org/0000-0001-5541-4305

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Date deposited: 01 Apr 2016 14:27
Last modified: 20 Jul 2019 01:01

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Contributors

Author: Sambath Tiroumal
Author: A Lotery ORCID iD

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