Long-Term Resolution of Perifoveal Exudative Vascular Anomalous Complex after Intravitreal Injections of Anti-Vascular Endothelial Growth Factor

Abstract Perifoveal exudative vascular anomalous complex (PEVAC) is a perifoveal aneurysmal vascular lesion found in healthy subjects. A 68-year-old woman was diagnosed with a typical unilateral and unifocal PEVAC lesion after extensive multimodal imaging and was treated with three-monthly intravitr...

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Bibliographic Details
Published in:Case reports in ophthalmology Vol. 13; no. 3; pp. 927 - 933
Main Authors: Torrell-Belzach, Nuria, Miere, Alexandra, Souied, Eric, Cohen, Salomon Y.
Format: Journal Article
Language:English
Published: Basel, Switzerland S. Karger AG 17.11.2022
Karger Publishers
Subjects:
Aging
anti-vascular endothelial growth factor
capillary aneurysm
Case Report
Case reports
Diabetes
Diabetic retinopathy
Edema
Hypertension
Inflammatory diseases
Lasers
Macular degeneration
Medical imaging
Monoclonal antibodies
Ophthalmology
Patients
perifoveal exudative vascular anomalous complex
Tomography
Vascular endothelial growth factor
Visual acuity
Capillary aneurysm
Perifoveal exudative vascular anomalous complex
Anti-vascular endothelial growth factor
ISSN:1663-2699, 1663-2699
Online Access:Get full text
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Summary:Abstract Perifoveal exudative vascular anomalous complex (PEVAC) is a perifoveal aneurysmal vascular lesion found in healthy subjects. A 68-year-old woman was diagnosed with a typical unilateral and unifocal PEVAC lesion after extensive multimodal imaging and was treated with three-monthly intravitreal injections of ranibizumab. An immediate and complete resolution of the intraretinal fluid was observed. Visual acuity returned to 20/20 without any recurrence of the exudative signs along the 5 years of follow-up. Therefore, an initial anti-VEGF treatment with three-monthly intravitreal injections may be considered as a first-line treatment in PEVAC lesions and may result in long-term preservation of visual acuity.
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ISSN:1663-2699
1663-2699
DOI:10.1159/000526991