Photocoagulation des vaisseaux retiniens nourriciers d'une anastomose chorioretinienne dans le cadre d'une degenerescence maculaire liee a l'age. [Photocoagulation of the retinal feeder vessels of a chorioretinal anastomosis in age-related macular degeneration]

Détails

ID Serval
serval:BIB_87F6DDF7011E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Photocoagulation des vaisseaux retiniens nourriciers d'une anastomose chorioretinienne dans le cadre d'une degenerescence maculaire liee a l'age. [Photocoagulation of the retinal feeder vessels of a chorioretinal anastomosis in age-related macular degeneration]
Périodique
Journal Français d'Ophtalmologie
Auteur(s)
Mantel  I., Zografos  L.
ISSN
0181-5512 (Print)
Statut éditorial
Publié
Date de publication
05/2003
Volume
26
Numéro
5
Pages
493-7
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
Résumé
The presence of a chorioretinal anastomosis in the setting of age-related macular degeneration is known as a sign of poor prognosis. No treatment has proven to be effective. We describe a 71-year-old female patient presenting with exudative age-related macular degeneration, a chorioretinal anastomosis with two retinal feeder vessels (arteriole and veinule), a serous retinal pigment epithelium detachment, and a suspected early subretinal neovascular membrane. She was treated with ICG-guided laser photocoagulation directed to the hot spot, with treatment-zone enlargement directed to the retinal feeder vessels and followed up for 6 months. Although a second laser treatment for the reperfused subretinal neovascular membrane was needed, the clinical and angiographic end result was beneficial. Visual acuity improved by two lines, the chorioretinal anastomosis was occluded, and the pigment epithelium reattached. Taking into account the low therapeutic success rate described in the literature, we suggest that the specific treatment of the retinal feeder vessels, which to our knowledge has not been described before, may be a valuable treatment option.
Mots-clé
Aged Aging/*physiology Anastomosis, Surgical Chorion/*surgery Female Humans *Light Coagulation Macular Degeneration/*surgery Retina/*surgery Retinal Vessels/*surgery
Pubmed
Web of science
Création de la notice
28/01/2008 14:09
Dernière modification de la notice
20/03/2018 13:25
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