Document Detail

Management of refractory leber miliary aneurysms with macular edema: a case report.
MedLine Citation:
PMID:  25372199     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: To report a case study of a patient with Leber miliary aneurysms with macular edema refractory to various treatment modalities.
METHODS: This is a retrospective study of a 35-year-old man who had multiple Leber miliary aneurysms with exudation and edema involving the macula. The patient's data were collected from case notes over a 3-year period of management of the condition.
RESULTS: The patient's Leber miliary aneurysm with exudation and macular edema was refractory to various treatment modalities, including laser photocoagulation, anti-vascular endothelial growth factor injections, photodynamic therapy, and cryotherapy. However, recently, the patient showed a good response to treatment with intravitreal dexamethasone implants. His macular edema and vision have improved with these injections.
CONCLUSION: Intravitreal dexamethasone implants should be considered along with other treatment options when planning treatment of Leber miliary aneurysms. However, the long-term stability of the disease with these injections is not known.
Sambath Tiroumal; Andrew Lotery
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Retinal cases & brief reports     Volume:  8     ISSN:  1937-1578     ISO Abbreviation:  Retin Cases Brief Rep     Publication Date:  2014  
Date Detail:
Created Date:  2014-11-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101298744     Medline TA:  Retin Cases Brief Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-6     Citation Subset:  IM    
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