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KMID : 0360220230640020158
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Journal of the Korean Ophthalmological Society
2023 Volume.64 No. 2 p.158 ~ p.163
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Recurrent Idiopathic Choroidal Neovascularization in an Adolescent
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Lee Ha-Young
Lee Jae-Hyuk
Moon Jong-Won
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Abstract
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Purpose: To report recurrent idiopathic choroidal neovascularization (CNV) in an adolescent.
Case summary: A 14-year-old male presented with reduced vision in the right eye, 3 weeks in duration. His best-corrected visual acuity (BCVA) was 0.2. He lacked any medical or ocular history, any family history of retinal disease, and any trauma history. Autorefraction yielded a spherical equivalent of -4.75 diopters. Neither posterior staphyloma nor myopic macular degeneration was apparent in a fundus photograph. However, the photograph revealed a greyish foveal lesion with a subretinal hemorrhage, but was otherwise unremarkable. Optical coherence tomography and fluorescein angiography revealed foveal CNV with a subretinal hemorrhage and fluid. As no feature known to cause CNV was apparent, we diagnosed idiopathic CNV and prescribed right-eye intravitreal ranibizumab injections. After treatment, the BCVA became 1.0, but the CNV continued to recur; he has received 26 intravitreal ranibizumab injections over the last 47 months.
Conclusions: Most idiopathic CNVs in adolescents are well-treated with fewer injections. However, CNV can continue to recur; multiple intravitreal injections and careful monitoring may be required.
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KEYWORD
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Adolescents, Choroidal neovascularization, Intravitreal injections, Ranibizumab, Recurrence
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