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Diabetic papillopathy with macular edema treated with intravitreal ranibizumab

Authors Kim M, Lee JH, Lee SJ

Received 27 September 2013

Accepted for publication 17 October 2013

Published 27 November 2013 Volume 2013:7 Pages 2257—2260

DOI https://doi.org/10.2147/OPTH.S55076

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Moosang Kim,* Jang-Hun Lee,* Seung-Jun Lee

Department of Ophthalmology, Kangwon National University, Chuncheon, South Korea

*These authors contributed equally to this work

Abstract: We report a case of diabetic papillopathy that demonstrated a resolution of optic disk swelling and rapid visual recovery when intravitreal ranibizumab was administered. A 51-year-old male presented with acute painless visual loss in his right eye. His vision was 20/320 in the right eye and 20/50 in the left eye. Fundus examination of the right eye showed nonproliferative diabetic retinopathy with macular edema and a swollen optic disk. Fluorescein angiography showed dye leakage from the right optic disk. Optical coherent tomography revealed a significant increase in retinal nerve fiber-layer thickness. Magnetic resonance imaging of the brain was normal. The patient received a single intravitreal ranibizumab (0.5 mg) injection. Two weeks following injection, there was marked regression of the disk swelling and improvement of macular edema, with vision improving to 20/100. Three months following injection, there was complete resolution of the optic disk swelling. No further treatment was required.

Keywords: diabetic papillopathy, optic disk swelling, ranibizumab

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