光动力疗法联合玻璃体内注射曲安西龙治疗双侧特发性近中心凹毛细血管扩张症继发视网膜下新生血管

Photodynamic therapy and intravitreal triamcinolone for a subretinal neovascularization in bilateral idiopathic juxtafoveal telangiectasis

To report combined treatment of photodynamic therapy (PDT) with verteporfin an d intravitreal triamcinolone acetonide injection for subfoveal neovascularizatio n secondary to bilateral idiopathic juxtafoveal telangiectasis. Interventional c ase report. A patient with a subfoveal neovascularization secondary to bilateral idiopathic juxtafoveal telangiectasis was treated with PDT plus an intravitreal injection of 4 mg of triamcinolone acetonide. Leakage in the late phase of flu orescein angiography resolved with attenuation of telangiectatic vessels and imp rovement in visual acuity from 20/200 to 20/50. At 9 months post treatment, rec urrent leakage was treated with repeat PDT and intravitreal triamcinolone. One y ear after initial presentation, visual acuity was 20/60 with no leakage on fluor escein. Combined treatment with PDT and intravitreal triamcinolone acetonide res ulted in regression of a subfoveal neovascular membrane and improvement in visua l acuity during the course of follow up.