AI Article Synopsis

  • A case study discusses the treatment of unilateral macular edema in a 16-year-old boy with Wyburn-Mason syndrome, using Bevacizumab and Aflibercept.
  • After an initial treatment with Bevacizumab proved ineffective, the patient showed significant improvement with Aflibercept after three monthly injections.
  • The study suggests that Aflibercept may be a safe and effective alternative for managing macular edema resulting from retinal arteriovenous malformations.

Article Abstract

Purpose: Macular edema is an infrequent complication of retinal arteriovenous malformations. We present the management of unilateral macular edema with Bevacizumab 1.25mg/0.05mL and Aflibercept 2mg/0.05mL in a 16-year-old child with Wyburn-Mason syndrome.

Observations: The patient developed macular edema after 15 years of unremarkable ophthalmological follow-up. After a one-month observation period, a first intravitreal injection of Bevacizumab 1.25mg/0.05mL, the treatment most frequently described in the literature, was found to be insufficient to reduce the macular edema.After the switch to Aflibercept 2.0mg/0.05mL, a significant reduction in macular edema was observed after three monthly intravitreal injections. This effect was prolonged over the 15-month observation follow-up.

Conclusions And Importance: Aflibercept 2mg/0.05mL may be a safe and effective option to manage macular edema complications in retinal arteriovenous malformations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635018PMC
http://dx.doi.org/10.1016/j.ajoc.2024.102209DOI Listing

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