A case of iatrogenic CNV following macular surgery

Purpose: To report a case of iatrogenic trauma related choroidal neovascularization (CNV) Methods: A 66 year old female presented with complaints of distortion of vision in the right eye. A diagnosis of epiretinal membrane (ERM) foveoschisis was made and the patient was recommended surgery. During s...

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Main Authors: Akshay Prashant Agnihotri, Ines D. Nagel, Anna Heinke, Zachary A. Koretz, William R. Freeman
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993625000167
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author Akshay Prashant Agnihotri
Ines D. Nagel
Anna Heinke
Zachary A. Koretz
William R. Freeman
author_facet Akshay Prashant Agnihotri
Ines D. Nagel
Anna Heinke
Zachary A. Koretz
William R. Freeman
author_sort Akshay Prashant Agnihotri
collection DOAJ
description Purpose: To report a case of iatrogenic trauma related choroidal neovascularization (CNV) Methods: A 66 year old female presented with complaints of distortion of vision in the right eye. A diagnosis of epiretinal membrane (ERM) foveoschisis was made and the patient was recommended surgery. During surgery an inadvertent touch of the retina occurred. Post operatively, an iatrogenic choroidal neovascular membrane was diagnosed. Results: Post-operative optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) revealed a CNV which was treated with intravitreal Bevacizumab. The visual acuity improved remarkably. The intraretinal and subretinal fluid resolved and the macula was almost completely dry at final visit. Conclusion: ERM surgery is one of the common procedures in vitreoretinal surgery. Iatrogenic CNV is a reported but rare complication following inadvertent trauma during surgery. We report a successful outcome of iatrogenic CNV treated with intravitreal injections of Bevacizumab.
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publishDate 2025-03-01
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series American Journal of Ophthalmology Case Reports
spelling doaj-art-fcf3cb4d4fbd434a90d8ca4aac0071372025-02-09T05:00:44ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362025-03-0137102263A case of iatrogenic CNV following macular surgeryAkshay Prashant Agnihotri0Ines D. Nagel1Anna Heinke2Zachary A. Koretz3William R. Freeman4Jacobs Retina Center, 9415 Campus Point Drive, La Jolla, CA, 92037, USA; Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, 92037, USAJacobs Retina Center, 9415 Campus Point Drive, La Jolla, CA, 92037, USA; Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, 92037, USAJacobs Retina Center, 9415 Campus Point Drive, La Jolla, CA, 92037, USA; Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, 92037, USAJacobs Retina Center, 9415 Campus Point Drive, La Jolla, CA, 92037, USA; Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, 92037, USAJacobs Retina Center, 9415 Campus Point Drive, La Jolla, CA, 92037, USA; Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, 92037, USA; Corresponding author. 9415 Campus Point Drive, La Jolla, CA, 92037, USA.Purpose: To report a case of iatrogenic trauma related choroidal neovascularization (CNV) Methods: A 66 year old female presented with complaints of distortion of vision in the right eye. A diagnosis of epiretinal membrane (ERM) foveoschisis was made and the patient was recommended surgery. During surgery an inadvertent touch of the retina occurred. Post operatively, an iatrogenic choroidal neovascular membrane was diagnosed. Results: Post-operative optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) revealed a CNV which was treated with intravitreal Bevacizumab. The visual acuity improved remarkably. The intraretinal and subretinal fluid resolved and the macula was almost completely dry at final visit. Conclusion: ERM surgery is one of the common procedures in vitreoretinal surgery. Iatrogenic CNV is a reported but rare complication following inadvertent trauma during surgery. We report a successful outcome of iatrogenic CNV treated with intravitreal injections of Bevacizumab.http://www.sciencedirect.com/science/article/pii/S2451993625000167CNVIatrogenicOCTAVitrectomy
spellingShingle Akshay Prashant Agnihotri
Ines D. Nagel
Anna Heinke
Zachary A. Koretz
William R. Freeman
A case of iatrogenic CNV following macular surgery
American Journal of Ophthalmology Case Reports
CNV
Iatrogenic
OCTA
Vitrectomy
title A case of iatrogenic CNV following macular surgery
title_full A case of iatrogenic CNV following macular surgery
title_fullStr A case of iatrogenic CNV following macular surgery
title_full_unstemmed A case of iatrogenic CNV following macular surgery
title_short A case of iatrogenic CNV following macular surgery
title_sort case of iatrogenic cnv following macular surgery
topic CNV
Iatrogenic
OCTA
Vitrectomy
url http://www.sciencedirect.com/science/article/pii/S2451993625000167
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