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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Elsevier
2025-03-01
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Series: | American Journal of Ophthalmology Case Reports |
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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. |
format | Article |
id | doaj-art-fcf3cb4d4fbd434a90d8ca4aac007137 |
institution | Kabale University |
issn | 2451-9936 |
language | English |
publishDate | 2025-03-01 |
publisher | Elsevier |
record_format | Article |
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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