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Choroidal neovascularization in children: report of five cases and literature review
1Department of Ophthalmology, Naval Hospital, Bethesda, Maryland 20814-5011.
Insights
Choroidal neovascularization, rare in children, requires early recognition for vision preservation. Prompt diagnosis and treatment of these lesions are crucial for pediatric visual health.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Medical Research
Background:
- Choroidal neovascularization (CNV) is uncommon in pediatric patients.
- CNV in children is linked to diverse underlying conditions.
- Early detection of pediatric CNV is vital for maintaining vision.
Observation:
- This overview details conditions associated with pediatric CNV.
- It provides guidelines for recognizing and managing these lesions.
- Fluorescein angiography is highlighted for selective use.
Findings:
- The study reviews updated associations of CNV in children and adolescents.
- Illustrative cases demonstrate successful management strategies.
- A 10-year-old boy achieved positive outcomes with krypton laser photocoagulation near the fovea.
Implications:
- Improved diagnostic guidelines can lead to earlier intervention for pediatric CNV.
- Timely treatment, including laser photocoagulation, can preserve visual function.
- Understanding associated conditions aids in comprehensive patient care and management.
Abstract:
Choroidal neovascularization is rare in the pediatric population. It has been associated in this age group with a variety of conditions. Increasing ability to treat these neovascular lesions with laser photocoagulation makes early recognition very important for visual preservation. An overview is presented, including an updated list of conditions associated with choroidal neovascularization in children and adolescents. Guidelines to recognition, parent and patient instructions, and the selective use of fluorescein angiography are emphasized. Five illustrative cases are highlighted, including a 10-year-old boy successfully treated with krypton laser photocoagulation near the fovea.