Choroideremia associated with choroidal neovascularization treated with intravitreal bevacizumab.

Clin Ophthalmol

Oregon Retinal Degeneration Center (ORDC), Ophthalmic Genetics Service and Retina-Vitreous Service, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA.

Published: September 2014

Purpose: To report a rare case of central vision loss in a patient with choroideremia.

Patients And Methods: A retrospective, interventional case report.

Results: A 13-year-old male with history of choroideremia presented with subacute loss of central acuity in his left eye. Examination and diagnostic testing revealed subretinal fibrosis secondary to a choroidal neovascular membrane (CNVM). A trial of anti-vascular endothelial growth factor (VEGF) therapy with the injection of intravitreal bevacizumab was attempted. Mild improvements in acuity and anatomy were noted.

Conclusion: Choroideremia is a rare hereditary choroidal dystrophy that predominantly affects males in the first and second decades of life. Visual acuity is usually spared until later in life. CNVM is a rare manifestation of choroideremia with only a handful of case reports presented in the literature. This case is unique in that it is the first reported case that received treatment with intravitreal anti-VEGF therapy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159397PMC
http://dx.doi.org/10.2147/OPTH.S68243DOI Listing

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