Photodynamic therapy for best disease complicated by choroidal neovascularization in children

Sengul Ozdek1, Mehmet Cuneyt Ozmen, Hasan Ali Tufan

  • 1Gazi University, School of Medicine, Ophthalmology Department, Ankara, Turkey. sozdek@gazi.edu.tr

Insights

Photodynamic therapy (PDT) effectively treated choroidal neovascularization (CNV) in children with Best vitelliform macular dystrophy (BVMD). Visual acuity improved or stabilized in most patients during a 25-month follow-up.

Area of Science:

  • Ophthalmology
  • Medical therapy

Background:

  • Best vitelliform macular dystrophy (BVMD) can lead to choroidal neovascularization (CNV).
  • Pediatric CNV management requires effective treatment options.

Observation:

  • Five eyes of four children with BVMD and CNV underwent a single photodynamic therapy (PDT) session.
  • Treatment response was assessed using fluorescein angiography and optical coherence tomography.

Findings:

  • All treated eyes showed positive responses to PDT.
  • Four out of five eyes experienced significant visual acuity improvements.
  • Visual acuity gains were maintained for a mean follow-up of 25 months.

Implications:

  • PDT with verteporfin presents a promising therapeutic strategy for pediatric CNV secondary to BVMD.
  • Further research may validate PDT as a standard treatment for this condition.
Abstract

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