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International Ophthalmology

, Volume 31, Issue 4, pp 333–335 | Cite as

Photodynamic therapy for unilateral idiopathic peripapillary choroidal neovascularization in a child

  • Cem Yıldırım
  • Ebru Nevin Çetin
  • Kemal Yayla
  • Avni Murat Avunduk
  • Volkan Yaylalı
Case Report

Abstract

A 10-year-old girl presented with visual loss in her right eye. Best-corrected visual acuity was 20/50 in the right eye and 20/20 in the left eye. Dilated funduscopic examination revealed a yellowish elevated lesion near the optic disc with macular edema and hemorrhage on the inferotemporal vascular arcade in the right eye. Fluorescein angiography showed a hyperfluorescent lesion consistent with choroidal neovascularization (CNV) and optical coherence tomography (OCT) showed a peripapillary lesion with subretinal fluid elevating the neurosensory retina in the macular area. With a diagnosis of unilateral idiopathic peripapillary CNV, the patient underwent photodynamic therapy (PDT) with verteporfin. At the four month follow-up, visual acuity increased to 20/25 and OCT showed peripapillary scar formation and total resolution of the subretinal fluid. At the one year follow-up, visual acuity and fundus were stable without recurrence of the lesion. PDT for peripapillary CNV in children has not previously been reported. Although it seems to be a favorable treatment option for peripapillary lesions, there is a lack of knowledge about long-term follow-up in pediatric cases.

Keywords

Children Choroidal neovascularization Idiopathic Peripapillary Photodynamic therapy 

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Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Cem Yıldırım
    • 1
  • Ebru Nevin Çetin
    • 1
  • Kemal Yayla
    • 1
  • Avni Murat Avunduk
    • 1
  • Volkan Yaylalı
    • 1
  1. 1.Department of OphthalmologyPamukkale UniversityDenizliTurkey

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