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Paediatric case of peripapillary choroidal neovascularisation associated with optic disc drusen treated with

Weh Loong Gan1,2, Vernon W Long1,2

  • 1The University of Leeds, Leeds, UK.

BMJ Case Reports
|January 16, 2019
PubMed

Insights

A rare complication in children, peripapillary choroidal neovascularisation (PPCNV) secondary to optic disc drusen, was successfully treated. Intravitreal aflibercept resolved vision loss and fluid, with no recurrence at follow-up.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Medical Retina

Background:

  • Optic disc drusen can rarely lead to peripapillary choroidal neovascularisation (PPCNV).
  • PPCNV in children is a rare cause of severe vision impairment.
  • This condition necessitates effective treatment strategies for pediatric patients.

Observation:

  • A 6-year-old girl presented with acute vision loss in her right eye.
  • Examination revealed bilateral optic disc elevation and subfoveal fluid on OCT.
  • Findings were consistent with optic disc drusen and PPCNV.

Findings:

  • The patient received three intravitreal aflibercept injections.
  • Complete resolution of subfoveal fluid was observed post-treatment.
  • Visual acuity improved significantly to 20/25 with no recurrence at 16 months.

Implications:

  • Intravitreal aflibercept is a safe and effective treatment for pediatric PPCNV secondary to optic disc drusen.
  • This case highlights a successful therapeutic approach for a rare but vision-threatening condition.
  • Further research may explore aflibercept's role in similar pediatric retinal vascular disorders.

Keywords:
macularetina

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