Retin Cases Brief Rep. 2014 Winter;8(1):13-6. doi: 10.1097/ICB.0b013e3182a0e48f.
Management of refractory leber miliary aneurysms with macular edema: a case report.
Tiroumal S1, Lotery A.
Author information
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.
PMID:
25372199
[PubMed - in process]