Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex

Ilias Georgalas, Alexandros A Rouvas, Dimitrios A Karagiannis, Athanasios I Kotsolis, Ioannis D LadasDepartment of Ophthalmology, Medical School of Athens University, Athens, GreeceAbstract: This is a case report of a 83-year-old man with choroidal neovascularization (CNV), due to age-related macula...

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Autores principales:	Ilias Georgalas, Alexandros A Rouvas, Dimitrios A Karagiannis, Athanasios I Kotsolis, Ioannis D Ladas
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1d30b2a0906248f4991c90ac95b5f764
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spelling	oai:doaj.org-article:1d30b2a0906248f4991c90ac95b5f7642021-12-02T01:06:55ZPhotodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex1177-54671177-5483https://doaj.org/article/1d30b2a0906248f4991c90ac95b5f7642008-12-01T00:00:00Zhttp://www.dovepress.com/photodynamic-therapy-of-choroidal-neovascularization-with-enlargement--a2657https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ilias Georgalas, Alexandros A Rouvas, Dimitrios A Karagiannis, Athanasios I Kotsolis, Ioannis D LadasDepartment of Ophthalmology, Medical School of Athens University, Athens, GreeceAbstract: This is a case report of a 83-year-old man with choroidal neovascularization (CNV), due to age-related macular degeneration (AMD) in his right eye. Digital fluorescein (FA) and indocyanine green angiography (ICG) were performed, which disclosed predominantly classic subfoveal CNV and a dilated and tortuous feeding complex. The visual acuity was 20/800. Anti-vascular endothelial growth factor (anti-VEGF) treatment was suggested, however, the patient was not keen to receive an intraocular injection. Modified photodynamic therapy (PDT) with spot size enlarged, to include not only the CNV lesion but the feeding complex as well, was performed. Ten days after one session of PDT, ICG showed absence of leakage from the CNV and complete occlusion of the feeding complex. The visual acuity gradually improved to 20/100 and remained stable during the following 23 months. No evidence of CNV leakage was seen in the FA and ICG during the follow up period. Adjustment of the PDT spot size to include the detectable by ICG feeding complex might be an additional option in order to close the subfoveal CNV and might be considered as an alternative to intravitreal injection of anti-VEGF in selected cases where anti-VEGF treatment is not available.Keywords: age-related macular degeneration, choroidal neovascularization, photodynamic treatment, feeder vessel Ilias GeorgalasAlexandros A RouvasDimitrios A KaragiannisAthanasios I KotsolisIoannis D LadasDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2009, Iss default, Pp 13-16 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ilias Georgalas Alexandros A Rouvas Dimitrios A Karagiannis Athanasios I Kotsolis Ioannis D Ladas Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
description	Ilias Georgalas, Alexandros A Rouvas, Dimitrios A Karagiannis, Athanasios I Kotsolis, Ioannis D LadasDepartment of Ophthalmology, Medical School of Athens University, Athens, GreeceAbstract: This is a case report of a 83-year-old man with choroidal neovascularization (CNV), due to age-related macular degeneration (AMD) in his right eye. Digital fluorescein (FA) and indocyanine green angiography (ICG) were performed, which disclosed predominantly classic subfoveal CNV and a dilated and tortuous feeding complex. The visual acuity was 20/800. Anti-vascular endothelial growth factor (anti-VEGF) treatment was suggested, however, the patient was not keen to receive an intraocular injection. Modified photodynamic therapy (PDT) with spot size enlarged, to include not only the CNV lesion but the feeding complex as well, was performed. Ten days after one session of PDT, ICG showed absence of leakage from the CNV and complete occlusion of the feeding complex. The visual acuity gradually improved to 20/100 and remained stable during the following 23 months. No evidence of CNV leakage was seen in the FA and ICG during the follow up period. Adjustment of the PDT spot size to include the detectable by ICG feeding complex might be an additional option in order to close the subfoveal CNV and might be considered as an alternative to intravitreal injection of anti-VEGF in selected cases where anti-VEGF treatment is not available.Keywords: age-related macular degeneration, choroidal neovascularization, photodynamic treatment, feeder vessel
format	article
author	Ilias Georgalas Alexandros A Rouvas Dimitrios A Karagiannis Athanasios I Kotsolis Ioannis D Ladas
author_facet	Ilias Georgalas Alexandros A Rouvas Dimitrios A Karagiannis Athanasios I Kotsolis Ioannis D Ladas
author_sort	Ilias Georgalas
title	Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
title_short	Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
title_full	Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
title_fullStr	Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
title_full_unstemmed	Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
title_sort	photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/1d30b2a0906248f4991c90ac95b5f764
work_keys_str_mv	AT iliasgeorgalas photodynamictherapyofchoroidalneovascularizationwithenlargementofthespotsizetoincludethefeedingcomplex AT alexandrosarouvas photodynamictherapyofchoroidalneovascularizationwithenlargementofthespotsizetoincludethefeedingcomplex AT dimitriosakaragiannis photodynamictherapyofchoroidalneovascularizationwithenlargementofthespotsizetoincludethefeedingcomplex AT athanasiosikotsolis photodynamictherapyofchoroidalneovascularizationwithenlargementofthespotsizetoincludethefeedingcomplex AT ioannisdladas photodynamictherapyofchoroidalneovascularizationwithenlargementofthespotsizetoincludethefeedingcomplex
_version_	1718403302260998144

Photodynamic therapy of choroidal neovascularization with enlargement of the spot size to include the feeding complex

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