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01-04-2017 | Case Report

Peripheral choroidal neovascular membrane in a case of peripheral exudative hemorrhagic chorioretinopathy managed with combination therapy

Authors: Brijesh Takkar, Sangeeta Roy, Preet Kanwar Singh Sodhi, Shorya Azad, Gurkirat Singh Bajwa

Published in: International Ophthalmology | Issue 2/2017

Abstract

To report a case of peripheral exudative hemorrhagic chorioretinopathy (PEHCR) associated with extramacular choroidal neovascular membrane (CNVM). A 65-year-old female with BCVA of 3/60 in the RE was diagnosed to have PEHCR with peripheral CNVM. She had subretinal fluid in the macular region. The patient was treated successfully with a single dose of intravitreal bevacizumab followed by laser photocoagulation of the CNVM. BCVA was 6/24 after 3 months and subretinal fluid had resolved. PEHCR may be associated with extramacular CNVM and hence may cause visual loss. Such extramacular CNVMs respond well to combination therapy which offers a permanent cure.

Annesley WH Jr (1980) Peripheral exudative hemorrhagic chorioretinopathy. Trans Am Ophthalmol Soc 78:321–364PubMedPubMedCentral

Shields CL, Salazar PF, Mashayekhi A et al (2009) Peripheral exudative hemorrhagic chorioretinopathy simulating choroidal melanoma in 173 eyes. Ophthalmology 116:529–535CrossRefPubMed

Mashayekhi A, Shields CL, Shields JA (2013) Peripheral exudative hemorrhagic chorioretinopathy: a variant of polypoidal choroidal vasculopathy? J Ophthalmic Vis Res 8:264–267PubMedPubMedCentral

Garcia CA, Segundo PDS, Garcia Filho CA, Garcia AC (2008) Intermediate uveitis complicated by choroidal granuloma following subretinal neovascular membrane: case reports. Arq Bras Oftalmol 71:890–893CrossRefPubMed

Ament C, Zacks DN, Lane A et al (2006) Predictors of visual outcome and choroidal neovascular membrane formation after traumatic choroidal rupture. Arch Ophthalmol 124:957–966CrossRefPubMed

Seibel I, Hager A, Duncker T et al (2016) Anti-VEGF therapy in symptomatic peripheral exudative hemorrhagic chorioretinopathy (PEHCR) involving the macula. Graefes Arch Clin Exp Ophthalmol 254:653–659CrossRefPubMed

Rishi P, Das A, Sarate P et al (2012) Management of peripheral polypoidal choroidal vasculopathy with intravitreal bevacizumab and indocyanine green angiography-guided laser photocoagulation. Indian J Ophthalmol 60:60–63CrossRefPubMedPubMedCentral

Title: Peripheral choroidal neovascular membrane in a case of peripheral exudative hemorrhagic chorioretinopathy managed with combination therapy
Authors: Brijesh Takkar
Sangeeta Roy
Preet Kanwar Singh Sodhi
Shorya Azad
Gurkirat Singh Bajwa
Publication date: 01-04-2017
Publisher: Springer Netherlands
Published in: International Ophthalmology / Issue 2/2017
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-016-0277-5

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Peripheral choroidal neovascular membrane in a case of peripheral exudative hemorrhagic chorioretinopathy managed with combination therapy

Abstract

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Abstract

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