Document Detail

Retinal angiomatous proliferation with a cilioretinal artery anastomosis: an unusual presentation.
MedLine Citation:
PMID:  15931547     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report an unusual phenotype of retinal angiomatous proliferation (RAP) in age-related macular degeneration (AMD) and its short-term response to laser photocoagulation. METHODS: Case report. RESULTS: An 85-year-old woman was found to have an unusual RAP with a major feeder vessel originating from a cilioretinal artery and associated with a cilioretinal-retinal anastomosis (C-RRA). Diffuse cystoid macular edema (CME), intraretinal hard exudates in a circinate pattern, and a fibrovascular pigment epithelial detachment (PED) were present. Laser photocoagulation was performed and led to occlusion of the cilioretinal feeder vessel and angiomatous lesion, with less CME. The other (retinal) arm of the C-RRA became more engorged and a new cilioretinal feeder developed, and both were associated with intraretinal hemorrhages. Visual acuity was stable and the PED persisted throughout follow-up. CONCLUSIONS: We report an unusual phenotype of RAP that is associated with a major cilioretinal feeder vessel and comment on the possible effect of such an association on the response to laser treatment.
Nicola G Ghazi; Brian P Conway
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-12-17
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  243     ISSN:  0721-832X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-02     Completed Date:  2005-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  493-6     Citation Subset:  IM    
Department of Ophthalmology, University of Virginia Health System, Charlottesville, Virginia 22903, USA.
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MeSH Terms
Aged, 80 and over
Angiomatosis / complications*,  pathology,  surgery
Arterio-Arterial Fistula / complications*,  pathology,  surgery
Ciliary Arteries / abnormalities*
Fluorescein Angiography
Laser Coagulation
Macular Degeneration / complications*,  pathology,  surgery
Retinal Artery / abnormalities*
Retinal Neovascularization / complications*,  pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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