RETINAL ANGIOMATOUS PROLIFERATION CASE REPORT

Area of Science:

• Ophthalmology
• Retinal Diseases

Background:

• Distinguishing between rapidly progressive (RAP) and age-related macular degeneration (AMD) is crucial, though they share diagnostic similarities.
• RAP is often characterized by the presence of pigment epithelial detachment (PED), exudates, and superficial hemorrhages, which are less common in AMD.

Observation:

• A 75-year-old male presented with a 4-month history of vision loss in his right eye.
• Ophthalmic examination revealed significantly reduced visual acuity (VA) in the right eye (4/50 uncorrected) compared to the left (5/5 corrected).
• Fundus angiography (FA) and optical coherence tomography (OCT) of the right eye showed intraretinal neovascularization, subretinal, and intraretinal fluid.

Findings:

• A single intravitreal injection of Triamcinolone Acetonide (IVTA) was administered to the affected right eye.
• One week post-injection, the patient's VA improved to 5/30.
• Macular edema gradually resolved within one month following the IVTA treatment, as confirmed by OCT.

Implications:

• Despite late presentation, a single IVTA injection demonstrated significant efficacy in improving VA and resolving macular edema in RAP.
• This case highlights the potential of IVTA as a treatment option for rapidly progressive (RAP).
• Early diagnosis and prompt treatment are essential for better outcomes in retinal vascular diseases.