First Author: A.Sato JAPAN
Co Author(s): E. Fukui N. Senda K. Ohta
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A vasoproliferative tumour (VPT) is a benign retinal vascular tumour in the ocular fundus. The tumour is characterized by yellowish-pink lesions accompanied by retinal exudation, cystoid macular edema, retinal haemorrhages, retinal detachment, and epiretinal membrane, but macular hole (MH) formation is rare. The purpose of this study is to report a case of VPT with a MH.
Matsumoto Dental University Hospital, Shiojiri, Japan.
Case report of a 64-year-old Japanese man with VPT.
A 64-year-old Japanese man complained of blurred vision in his right eye. At his first ophthalmic examination, his best corrected visual acuity (BCVA) was 16/20 in right eye, 20/20 in left eye. Ophthalmoscopy showed a VPT in the lower periphery of the right eye. An exudative retinal detachment and hard exudates were seen around the tumour. Cryopexy and intravitreal injections of bevacizumab (IVB) were performed. The exudative changes were reduced, but two months after the initial treatment, a MH developed. He underwent 25G-vitrectomy, and the MH was completely closed. His BCVA was 4/20 due to damage of the outer retinal layer although VPT was inactive.
Our findings indicate that cryotherapy and IVB are effective treatments for VPT, although the possibility of a development of a MH should be considered.