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Serial bevacizumab injections and laser photocoagulation for macular edema associated with a retinal artery macroaneurysm

Authors Leung E, Reddy A, Vedula A, Flynn Jr H

Received 7 January 2015

Accepted for publication 10 February 2015

Published 4 April 2015 Volume 2015:9 Pages 601—609

DOI https://doi.org/10.2147/OPTH.S80504

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Ella H Leung,1 Ashvini K Reddy,2 Anil S Vedula,1 Harry W Flynn Jr1

1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, 2Department of Ophthalmology, University of Virginia, Charlottesville, VA, USA

Abstract: An 84-year-old female with a history of hypertension and dyslipidemia was referred for a retinal artery macroaneurysm with exudation that had extended into the macula. She underwent a total of six injections of bevacizumab, with some improvement in visual acuity and retinal thickness. Due to persistent macular edema, focal laser photocoagulation was performed around the macroaneurysm. The vision remained at 20/30 during 20 months of follow up. Although anti-vascular endothelial growth factor therapy may improve vision and decrease retinal thickness in retinal artery macroaneurysm, recalcitrant cases may be treated with laser photocoagulation to seal the leaking vessel.

Keywords: bevacizumab, laser, retinal artery macroaneurysm
 

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