Brolucizumab Monotherapy in Idiopathic Polypoidal Choroidal Vasculopathy:A Case Report

Brolucizumab a humanized single-chain antibody fragment targeting VEGF-A is approved for neovascular age-related macular degeneration nAMD and is being studied for other retinal conditions including polypoidal choroidal vasculopathy PCV. This case report presents a 79-year-old I...

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Bibliographic Details
Main Authors: Mohan S, Kalpana Badami, Shilpa Y D, Hemalata B C
Format: Article
Language:English
Published: Rajiv Gandhi University of Health Sciences 2025-01-01
Series:RGUHS Journal of Medical Sciences
Online Access:https://journalgrid.com/view/article/rjms/12434377
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Summary:Brolucizumab a humanized single-chain antibody fragment targeting VEGF-A is approved for neovascular age-related macular degeneration nAMD and is being studied for other retinal conditions including polypoidal choroidal vasculopathy PCV. This case report presents a 79-year-old Indian male with idiopathic PCV in the right eye characterized by diminished vision and a large serous pigment epithelial detachment PED 1092 mum. He was treated with a pro re nata PRN regimen of intravitreal Brolucizumab 6 mg0.05 ml. After the first injection PED reduced to 68 mum but later resurfaced 423 mum requiring a second injection. Subsequent follow-ups showed fluctuations in fluid levels necessitating a third injection after which complete resolution was observed. This case highlights Brolucizumabrsquos effectiveness in managing serous PED in IPCV with repeated administration improving long-term fluid resolution.
ISSN:2231-1947
2581-7248