Bilateral peripapillary subretinal neovessel membrane associated with chronic papilledema: report of two cases

Details

Serval ID
serval:BIB_4837AC6C136F
Type
Article: article from journal or magazin.
Collection
Publications
Title
Bilateral peripapillary subretinal neovessel membrane associated with chronic papilledema: report of two cases
Journal
Klinische Monatsblatter fur Augenheilkunde
Author(s)
Nguyen  C., Borruat  F. X.
ISSN
0023-2165 (Print)
Publication state
Published
Issued date
03/2005
Volume
222
Number
3
Pages
275-8
Notes
Journal Article --- Old month value: Mar
Abstract
BACKGROUND: Increased intracranial pressure (ICP) usually results in headaches and papilledema with infrequent loss of visual acuity. Peripapillary subretinal neovessel membranes (PSNVM) rarely complicate chronic papilledema. HISTORY AND SIGNS: Case 1: A headache-free 9-year-old boy presented with a bilateral loss of vision due to chronic papilledema. Bilateral PSNVM was present. Cerebral imaging revealed a pilocytic astrocytoma and hydrocephaly. Case 2: A headache-free 39-year-old man presented with severe visual loss of the left eye due to an exudative macular star. Severe papilledema and PSNVM were present in both eyes due to idiopathic intracranial hypertension. THERAPY AND OUTCOME: Lowering of ICP (tumor resection - Case 1 and lumboperitoneal shunt - Case 2) resulted in involution of the PSNVMs in both patients. No improvement of visual acuity occurred for Case 1 (optic atrophy) but Case 2 benefited from gradual visual recovery. CONCLUSIONS: PSNVMs are rare complications of chronic papilledema, as only 10 patients have been reported so far in the literature. Absence of headaches in both of our patients was probably responsible for the late diagnosis, hence chronicity of papilledema. Laser therapy of PSNVM might not be necessary once the ICP is lowered.
Keywords
Adult Astrocytoma/*complications/diagnosis/surgery Brain Neoplasms/*complications/diagnosis/surgery Child Chronic Disease Diagnosis, Differential Fluorescein Angiography Follow-Up Studies Humans Hydrocephalus/*complications/diagnosis/surgery Intracranial Hypertension/*complications/diagnosis/surgery Male Optic Disk/*blood supply/pathology Papilledema/*complications/diagnosis/surgery Retinal Neovascularization/*complications/diagnosis Vision Disorders/diagnosis/*etiology/surgery Vision, Low/diagnosis/etiology Visual Acuity/physiology
Pubmed
Web of science
Create date
28/01/2008 12:37
Last modification date
20/08/2019 13:55
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