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KMID : 0360220160570121897
Journal of the Korean Ophthalmological Society
2016 Volume.57 No. 12 p.1897 ~ p.1902
Combination Therapy with Photodynamic Therapy and Intravitreal Bevacizumab in Idiopathic Macular Telangiectasia Type I
Kim In-Geun

Lee Ji-Eun
Park Jung-Min
Abstract
Purpose: We investigated the clinical manifestations of combination therapy with photodynamic therapy (PDT) and intravitreal bevacizumab in idiopathic macular telangiectasia type I patients.

Methods: The present study included 7 patients who visited our clinic from May 2008 to February 2011 complaining of decreasing visual acuity and diagnosed as idiopathic macular telangiectasia type I including visible aneurysms at juxtafoveal area and telangiectatic vessels leakage based on fluorescein angiography. Additionally, all patients were treated with combination therapy with PDT and intravitreal bevacizumab.

Results: Visual acuity improved from 0.48 ¡¾ 0.14 (log MAR) to 0.18 ¡¾ 0.17 (log MAR) after the combination therapy, however, there was no change in intraocular pressure between before (17.9 ¡¾ 3.1) and after (16.8 ¡¾ 2.3) therapy. After combination therapy, fluorescein angiography showed decreased leakage of telangiectatic vessels and optical coherence tomography showed only minimal intraretinal edema. Central subfield macular thickness decreased from 301.9 ¡¾ 50.7 ¥ìm to 193.6 ¡¾ 58.8 ¥ìm after the combination therapy.

Conclusions: Combination therapy with intravitreal bevacizumab injection and PDT in patients with idiopathic macular telangiectasia type ¥° can result in a rapid decrease of macular edema, which can lead to rapid visual recovery.
KEYWORD
Idiopathic macular telangiectasia type ¥°, Intravitreal bevacizumab, Photodynamic therapy
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