Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy

Purpose. To present a case of a patient with pattern dystrophy (PD) associated choroidal neovascularization (CNV) that resolved spontaneously without treatment. Methods. A 69-year-old male patient was referred to our unit, for evaluation of a recent visual loss (metamorphopsias) in his left eye. Fun...

Full description

Saved in:
Bibliographic Details
Main Authors: Anastasios Anastasakis, Flamur Goleni, Gerasimos Livir-Rallatos, Charalampos Livir-Rallatos, Panagiotis Zafirakis, Gerald Allen Fishman
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/9685290
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849690444054659072
author Anastasios Anastasakis
Flamur Goleni
Gerasimos Livir-Rallatos
Charalampos Livir-Rallatos
Panagiotis Zafirakis
Gerald Allen Fishman
author_facet Anastasios Anastasakis
Flamur Goleni
Gerasimos Livir-Rallatos
Charalampos Livir-Rallatos
Panagiotis Zafirakis
Gerald Allen Fishman
author_sort Anastasios Anastasakis
collection DOAJ
description Purpose. To present a case of a patient with pattern dystrophy (PD) associated choroidal neovascularization (CNV) that resolved spontaneously without treatment. Methods. A 69-year-old male patient was referred to our unit, for evaluation of a recent visual loss (metamorphopsias) in his left eye. Fundus examination, fundus autofluorescence imaging, and fluorescein angiography showed a choroidal neovascular membrane in his left eye. Since visual acuity was satisfactory the patient elected observation. Clinical examination and OCT testing were repeated at 6 and 12 months after presentation. Results. Visual acuity remained stable at the level of 0.9 (baseline BCVA) during the follow-up period (12 months). Repeat OCT testing showed complete spontaneous regression of the choroidal neovascular membrane without evidence of intra- or subretinal fluid in both follow-up visits. Conclusions. Spontaneous regression of choroidal neovascularization can occur in patients with retinal dystrophies and associated choroidal neovascular membranes. The decision to treat or observe these patients relies strongly on the presenting visual acuity, since, in isolated instances, spontaneous resolution of choroidal neovascularization may occur.
format Article
id doaj-art-eb91ea7a8a9249e3a5aea94945011196
institution DOAJ
issn 2090-6722
2090-6730
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Ophthalmological Medicine
spelling doaj-art-eb91ea7a8a9249e3a5aea949450111962025-08-20T03:21:18ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/96852909685290Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern DystrophyAnastasios Anastasakis0Flamur Goleni1Gerasimos Livir-Rallatos2Charalampos Livir-Rallatos3Panagiotis Zafirakis4Gerald Allen Fishman5Medical Retina Department, Athens Eye Hospital, Athens, GreeceMedical Retina Department, Athens Eye Hospital, Athens, GreeceMedical Retina Department, Athens Eye Hospital, Athens, GreeceMedical Retina Department, Athens Eye Hospital, Athens, GreeceMedical Retina Department, Athens Eye Hospital, Athens, GreeceThe Pangere Center For Hereditary Retinal Diseases, Chicago Lighthouse, Chicago, IL, USAPurpose. To present a case of a patient with pattern dystrophy (PD) associated choroidal neovascularization (CNV) that resolved spontaneously without treatment. Methods. A 69-year-old male patient was referred to our unit, for evaluation of a recent visual loss (metamorphopsias) in his left eye. Fundus examination, fundus autofluorescence imaging, and fluorescein angiography showed a choroidal neovascular membrane in his left eye. Since visual acuity was satisfactory the patient elected observation. Clinical examination and OCT testing were repeated at 6 and 12 months after presentation. Results. Visual acuity remained stable at the level of 0.9 (baseline BCVA) during the follow-up period (12 months). Repeat OCT testing showed complete spontaneous regression of the choroidal neovascular membrane without evidence of intra- or subretinal fluid in both follow-up visits. Conclusions. Spontaneous regression of choroidal neovascularization can occur in patients with retinal dystrophies and associated choroidal neovascular membranes. The decision to treat or observe these patients relies strongly on the presenting visual acuity, since, in isolated instances, spontaneous resolution of choroidal neovascularization may occur.http://dx.doi.org/10.1155/2016/9685290
spellingShingle Anastasios Anastasakis
Flamur Goleni
Gerasimos Livir-Rallatos
Charalampos Livir-Rallatos
Panagiotis Zafirakis
Gerald Allen Fishman
Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy
Case Reports in Ophthalmological Medicine
title Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy
title_full Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy
title_fullStr Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy
title_full_unstemmed Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy
title_short Spontaneous Regression of Choroidal Neovascularization in a Patient with Pattern Dystrophy
title_sort spontaneous regression of choroidal neovascularization in a patient with pattern dystrophy
url http://dx.doi.org/10.1155/2016/9685290
work_keys_str_mv AT anastasiosanastasakis spontaneousregressionofchoroidalneovascularizationinapatientwithpatterndystrophy
AT flamurgoleni spontaneousregressionofchoroidalneovascularizationinapatientwithpatterndystrophy
AT gerasimoslivirrallatos spontaneousregressionofchoroidalneovascularizationinapatientwithpatterndystrophy
AT charalamposlivirrallatos spontaneousregressionofchoroidalneovascularizationinapatientwithpatterndystrophy
AT panagiotiszafirakis spontaneousregressionofchoroidalneovascularizationinapatientwithpatterndystrophy
AT geraldallenfishman spontaneousregressionofchoroidalneovascularizationinapatientwithpatterndystrophy