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Responsiveness of choroidal neovascular membranes in patients with R345W mutation in fibulin 3 (Doyne honeycomb retinal dystrophy) to anti-vascular endothelial growth factor therapy
Journal article   Open access   Peer reviewed

Responsiveness of choroidal neovascular membranes in patients with R345W mutation in fibulin 3 (Doyne honeycomb retinal dystrophy) to anti-vascular endothelial growth factor therapy

Elliott H Sohn, Praveen J Patel, Robert E MacLaren, Feisal A Adatia, Bishwanath Pal, Andrew R Webster and Adnan Tufail
Archives of ophthalmology (1960), Vol.129(12), pp.1626-1628
12/2011
DOI: 10.1001/archophthalmol.2011.338
PMID: 22159686
url
https://doi.org/10.1001/archophthalmol.2011.338View
Published (Version of record) Open Access

Abstract

Doyne honeycomb retinal dystrophy (DHRD), malattia leventinese, and dominant radial drusen are allelic conditions that typically present with maculopathy of early age and autofluorescent drusen in the posterior pole with late hyperpigmentation and atrophy of the retinal pigment epithelium (RPE).1 These conditions are caused by a single R345W mutation in the gene encoding epidermal growth factor–containing fibrillin-like extracellular matrix protein 1 (EFEMP1),2 also known as fibulin 3. Development of choroidal neovascularization (CNV) is an uncommon but known sight-threatening complication1 for which the only recently reported intervention for this condition—vitrectomy and subretinal membrane removal3—requires complex surgery. Because of phenotypic similarities but pathophysiologic differences to age-related macular degeneration, we sought to determine the effects of intravitreal treatment with bevacizumab in patients with DHRD.
Corneal Dystrophies, Hereditary - drug therapy Antibodies, Monoclonal, Humanized - therapeutic use Intravitreal Injections Tomography, Optical Coherence Extracellular Matrix Proteins - genetics Humans Middle Aged Corneal Dystrophies, Hereditary - genetics Male Vascular Endothelial Growth Factor A - antagonists & inhibitors Bevacizumab Point Mutation Choroidal Neovascularization - drug therapy Optic Disk Drusen - congenital Angiogenesis Inhibitors - therapeutic use Adult Female Retrospective Studies Choroidal Neovascularization - genetics Visual Acuity - physiology Fluorescein Angiography

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