Retinal angiomatous proliferation with a cilioretinal artery anastomosis: an unusual presentation

To report an unusual phenotype of retinal angiomatous proliferation (RAP) in age-related macular degeneration (AMD) and its short-term response to laser photocoagulation. Case report. An 85-year-old woman was found to have an unusual RAP with a major feeder vessel originating from a cilioretinal art...

Full description

Saved in:
Bibliographic Details
Published inGraefe's archive for clinical and experimental ophthalmology Vol. 243; no. 5; pp. 493 - 496
Main Authors Ghazi, Nicola G, Conway, Brian P
Format Journal Article
LanguageEnglish
Published Germany Springer Nature B.V 01.05.2005
Subjects
Aged
Aged, 80 and over
Angiomatosis - complications
Angiomatosis - pathology
Angiomatosis - surgery
Arterio-Arterial Fistula - complications
Arterio-Arterial Fistula - pathology
Arterio-Arterial Fistula - surgery
Ciliary Arteries - abnormalities
Female
Fluorescein Angiography
Humans
Laser Coagulation
Macular Degeneration - complications
Macular Degeneration - pathology
Macular Degeneration - surgery
Retinal Artery - abnormalities
Retinal Neovascularization - complications
Retinal Neovascularization - pathology
Retinal Neovascularization - surgery
Online AccessGet full text

Cover

More Information
Summary:To report an unusual phenotype of retinal angiomatous proliferation (RAP) in age-related macular degeneration (AMD) and its short-term response to laser photocoagulation. Case report. 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. 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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-004-1034-4