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Published on: May 31, 2024
[Patient with type II membranoproliferative glomerulonephritis: intravitreal bevacizumab therapy for choroidal
M Karampelas1, N Kopsachilis, J H Chang
1Moorfields Eye Hospital, 162 City Road, London, UK.
Abstract:
Membranoproliferative glomerulonephritis (MPGN) type II is a rare disease characterized by electron dense deposits on the basement membrane in the glomeruli of the kidneys and also in Bruch's membrane of the eye. Although most patients have asymptomatic drusen of the retina choroidal neovascularization can sometimes develop, which can permanently affect visual acuity. We report an unusual case of choroidal neovascularization in a patient with MPGN type II that was successfully treated with a single intravitreal injection of bevacizumab. The 6 months follow-up showed no recurrence of choroidal neovascularization.
Insights
Membranoproliferative glomerulonephritis (MPGN) type II can cause vision loss. A single bevacizumab injection successfully treated choroidal neovascularization in one patient with MPGN type II, with no recurrence at six months.
Area of Science:
- Ophthalmology
- Nephrology
- Pathology
Background:
- Membranoproliferative glomerulonephritis (MPGN) type II is a rare kidney disease.
- MPGN type II involves electron-dense deposits in the glomeruli and Bruch's membrane.
- Ocular complications, including choroidal neovascularization, can affect visual acuity.
Observation:
- A patient with MPGN type II presented with choroidal neovascularization.
- Choroidal neovascularization can lead to permanent vision impairment.
Findings:
- Successful treatment of choroidal neovascularization with a single intravitreal bevacizumab injection.
- No recurrence of choroidal neovascularization observed during a 6-month follow-up period.
Implications:
- Intravitreal bevacizumab may be an effective treatment for choroidal neovascularization in MPGN type II patients.
- This case highlights a potential therapeutic option for vision-threatening complications of MPGN type II.
- Further research is warranted to confirm the efficacy and long-term outcomes of bevacizumab in this condition.
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