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Juxtapapillary neovascular membrane associated with optic nerve drusen
C M Ortega1, M Daroni2, M Maggi3
1Servicio de Oftalmología, Consultorios oftalmológicos Dr. Carlos Miguel Ortega, Banfield, Buenos Aires, Argentina.
Archivos De La Sociedad Espanola De Oftalmologia
|May 8, 2020
Summary
Optic nerve head drusen can lead to vision-threatening juxtapapillary neovascular membranes. Intravitreal ranibizumab injections effectively treated this complication, restoring visual acuity.
Area of Science:
- Ophthalmology
- Medical Retina
Background:
- Optic nerve head drusen are typically benign but can rarely present with complications.
- Juxtapapillary neovascular membranes are a potential, vision-compromising complication of optic nerve head drusen.
Observation:
- A 14-year-old patient experienced progressive visual acuity decrease in the left eye.
- Examination revealed bilateral optic nerve head drusen with a juxtapapillary neovascular membrane affecting the left eye.
Findings:
- Three consecutive intravitreal ranibizumab injections inactivated the neovascular membrane.
- Subretinal fluid reabsorbed, and best corrected visual acuity in the left eye improved to 20/20 and remained stable at 9-month follow-up.
Implications:
- This case highlights that optic nerve head drusen, though usually benign, can be associated with neovascular complications.
- Anti-VEGF therapy, specifically intravitreal ranibizumab, is an effective treatment for vision-threatening juxtapapillary neovascular membranes secondary to optic nerve head drusen.
Keywords:
AntiangiogenicAntiangiogénicosChildrenChoroidal neovascularizationDrusas del disco ópticoEcografíaEye ultrasoundMembrana neovascular coroideaNiñosOptic nerve head drusenMore Related Videos
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