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Choroidal neovascularization after intraocular foreign body

Authors Fernández-López E, Desco-Esteban MC, Fandiño-López A, Hernández-Díaz M, Navea A

Received 12 February 2014

Accepted for publication 18 March 2014

Published 16 May 2014 Volume 2014:8 Pages 945—948

DOI https://doi.org/10.2147/OPTH.S62312

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2


Video abstract presented by Ester Fernández-López.

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Ester Fernández-López, Mari Carmen Desco-Esteban, Adriana Fandiño-López, Mikhail Hernández-Díaz, Amparo Navea

Department of Vitreoretinal Diseases, FISABIO Oftalmología Médica, Valencia, Spain

Abstract: We report an unusual case of choroidal neovascularization secondary to intraocular foreign body (IOFB) penetrating trauma. A 44-year-old man was referred to our department for IOFB trauma in the right eye. Vitrectomy and IOFB extraction was performed with good visual results. However, 2 months after surgery, he returned complaining of a drop in visual acuity. Choroidal neovascularization originating from a direct choroidal rupture at the IOFB impact site was observed. The patient was treated with 6-monthly intravitreal injections of antivascular endothelial growth factor, and showed regression of neovascularization and a final visual acuity of 20/80. IOFB trauma is a serious condition, indeed in spite of initially good results after a favorable surgical outcome. Choroidal neovascularization after direct traumatic choroidal rupture is usually aggressive and requires more active antivascular endothelial growth factor therapy.

Keywords: choroidal rupture, choroidal neovascularization, intravitreal, antivascular endothelial growth factor, intraocular foreign body, open globe injury

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