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Management of refractory Leber miliary aneurysms with macular edema: a case report.

AbstractPURPOSE:
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.
AuthorsSambath Tiroumal, Andrew Lotery
JournalRetinal cases & brief reports (Retin Cases Brief Rep) Vol. 8 Issue 1 Pg. 13-6 ( 2014) ISSN: 1937-1578 [Electronic] United States
PMID25372199 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Drug Implants
  • Dexamethasone
Topics
  • Adult
  • Aneurysm (drug therapy)
  • Anti-Inflammatory Agents (therapeutic use)
  • Dexamethasone (therapeutic use)
  • Drug Implants
  • Humans
  • Macular Edema (drug therapy)
  • Male
  • Retinal Diseases (drug therapy)
  • Retrospective Studies
  • Treatment Outcome

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