Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab

Ha Na Oh,1 Joo Eun Lee,2 Hyun Woong Kim,1 Jae Wook Yang,1 Il Han Yun11Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea; 2Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaPurpose: To report on a ca...

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Autores principales:	Oh HN, Lee JE, Kim HW, Yang JW, Yun IH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e0efcf47fed545caa2c42895666cadb7
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spelling	oai:doaj.org-article:e0efcf47fed545caa2c42895666cadb72021-12-02T01:39:54ZOccult choroidal neovascularization after successful macular hole surgery treated with ranibizumab1177-54671177-5483https://doaj.org/article/e0efcf47fed545caa2c42895666cadb72012-08-01T00:00:00Zhttp://www.dovepress.com/occult-choroidal-neovascularization-after-successful-macular-hole-surg-a10662https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ha Na Oh,1 Joo Eun Lee,2 Hyun Woong Kim,1 Jae Wook Yang,1 Il Han Yun11Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea; 2Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaPurpose: To report on a case that developed an atypical form of occult choroidal neovascularization (CNV) after successful macular hole surgery.Methods: Visual acuity change, color fundus photographs, fluorescein and indocyanine green angiograms, and optical coherence tomography results were compared throughout the follow-up duration.Patients: A 64-year-old woman with a macular hole in the right eye and drusen in both eyes underwent pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade. One month after the operation she developed occult CNV, in which pigment epithelial detachment and fine retinal pigment epithelial (RPE) layer wrinkles were observed under the completely sealed macular hole. After 3-monthly intravitreal injections of ranibizumab, the lesion did not change significantly.Conclusion: CNV can develop after otherwise successful macular hole surgery, especially in patients with pre-existing aging changes in the macula, such as drusen. Care should be taken in such patients, to prevent the development of CNV after macular hole surgery.Keywords: drusen, macular hole surgery, occult choroidal neovascularization, ranimizumab injectionOh HNLee JEKim HWYang JWYun IHDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1287-1291 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Oh HN Lee JE Kim HW Yang JW Yun IH Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
description	Ha Na Oh,1 Joo Eun Lee,2 Hyun Woong Kim,1 Jae Wook Yang,1 Il Han Yun11Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea; 2Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaPurpose: To report on a case that developed an atypical form of occult choroidal neovascularization (CNV) after successful macular hole surgery.Methods: Visual acuity change, color fundus photographs, fluorescein and indocyanine green angiograms, and optical coherence tomography results were compared throughout the follow-up duration.Patients: A 64-year-old woman with a macular hole in the right eye and drusen in both eyes underwent pars plana vitrectomy, internal limiting membrane peeling, and gas tamponade. One month after the operation she developed occult CNV, in which pigment epithelial detachment and fine retinal pigment epithelial (RPE) layer wrinkles were observed under the completely sealed macular hole. After 3-monthly intravitreal injections of ranibizumab, the lesion did not change significantly.Conclusion: CNV can develop after otherwise successful macular hole surgery, especially in patients with pre-existing aging changes in the macula, such as drusen. Care should be taken in such patients, to prevent the development of CNV after macular hole surgery.Keywords: drusen, macular hole surgery, occult choroidal neovascularization, ranimizumab injection
format	article
author	Oh HN Lee JE Kim HW Yang JW Yun IH
author_facet	Oh HN Lee JE Kim HW Yang JW Yun IH
author_sort	Oh HN
title	Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
title_short	Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
title_full	Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
title_fullStr	Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
title_full_unstemmed	Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
title_sort	occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/e0efcf47fed545caa2c42895666cadb7
work_keys_str_mv	AT ohhn occultchoroidalneovascularizationaftersuccessfulmacularholesurgerytreatedwithranibizumab AT leeje occultchoroidalneovascularizationaftersuccessfulmacularholesurgerytreatedwithranibizumab AT kimhw occultchoroidalneovascularizationaftersuccessfulmacularholesurgerytreatedwithranibizumab AT yangjw occultchoroidalneovascularizationaftersuccessfulmacularholesurgerytreatedwithranibizumab AT yunih occultchoroidalneovascularizationaftersuccessfulmacularholesurgerytreatedwithranibizumab
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Occult choroidal neovascularization after successful macular hole surgery treated with ranibizumab

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