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Published on: January 13, 2023
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.
Purpose:
To describe the results of photodynamic therapy (PDT) with verteporfin for the treatment of choroidal neovascularization (CNV) associated with Best vitelliform macular dystrophy (BVMD) in children.
Methods:
Five eyes of four children diagnosed as having BVMD complicated by CNV received a single session of PDT. Response to treatment was monitored with fluorescein angiography and optical coherence tomography.
Results:
All eyes responded well to one session of PDT with significant increases in visual acuity in four of the five eyes. Increase or stabilization of visual acuity was preserved during a mean follow-up period of 25 months.
Conclusion:
PDT may be an effective treatment for CNV associated with BVMD in children.
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