First Author: G.Londoño Rojas SPAIN
Co Author(s): L. Sararols K. Banon M. Castilla M. Bausili S. Jordan
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Case report: Peripapillary Subretinal neovascular membrane in multiple evanescent white dot syndrome
Retrospective observational case report
A 17-year-old female referred mild blurred vision and reading difficulty in her left eye for a week and having had flu syndrome 15 days before. Her best-corrected visual acuity was 1.0 in the right eye and 0.8 the left eye. Clinical examination of the left eye revealed peripapillary hemorrhages with retinal pigment epithelium atrophy and subretinal fluid surrounding it. We performed OCT, fluorescein angiography reveals early punctate hyperfluorescence in a wreath-like pattern and late staining, in areas corresponding to the white dots, visual field shows enlarged blind spot. The patient was treated with 3 monthly intravitreal ranibizumab injections.
After three months there was a complete resolution of haemorrhages and anatomical and OCT findings. Final best-corrected visual acuity was 0.9 after follow up 2 months without recurrences.
This peripapillary subretinal neovascular membrane secondary to multiple evanescent white dot syndrome case responded excellently to anti-VEGF therapy.