Subretinal neovascular membrane in idiopathic intracranial hypertension

Lucas Wendel; Andrew G Lee; H Culver Boldt; Randy H Kardon; Michael Wall

doi:10.1016/j.ajo.2005.09.030

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Subretinal neovascular membrane in idiopathic intracranial hypertension

Journal article

Peer reviewed

Subretinal neovascular membrane in idiopathic intracranial hypertension

Lucas Wendel, Andrew G Lee, H Culver Boldt, Randy H Kardon and Michael Wall

American journal of ophthalmology, Vol.141(3), pp.573-574

03/2006

DOI: 10.1016/j.ajo.2005.09.030

PMID: 16490514

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Abstract

To define the prevalence, natural history, treatment, and prognosis of papilledema-related juxtapapillary subretinal neovascular membranes (SRNVMs). Retrospective observational case series. We conducted a retrospective chart review. Of 1140 cases of idiopathic intracranial hypertension, six patients had juxtapapillary SRNVM. Three patients were observed, and their final visual acuities were 20/20, 20/50, and 20/200. Three SRNVM involved the fovea; two of the cases were treated with argon laser therapy, and one case was treated with photodynamic therapy. SRNVM in idiopathic intracranial hypertension is rare (0.53%). Most cases of juxtapapillary SRNVM are self-limited and regress, can be observed, and have a favorable visual prognosis. The progression of the SRNVM ophthalmoscopically or angiographically toward the fovea, however, might be an indication for laser treatment. Once subfoveal extension occurs, the visual outcome tends to be unfavorable. No patients had recurrence of SRNVM after the resolution of the papilledema.

Pseudotumor Cerebri - drug therapy

Prevalence

Prognosis

Humans

Middle Aged

Male

Combined Modality Therapy

Laser Coagulation

Retinal Neovascularization - therapy

Visual Acuity

Photochemotherapy

Retinal Neovascularization - etiology

Furosemide - therapeutic use

Papilledema - complications

Pseudotumor Cerebri - complications

Diuretics - therapeutic use

Female

Retrospective Studies

Acetazolamide - therapeutic use

Papilledema - drug therapy

Details

Title: Subtitle: Subretinal neovascular membrane in idiopathic intracranial hypertension
Creators: Lucas Wendel - University of Iowa
Andrew G Lee - University of Iowa, Ophthalmology and Visual Sciences
H Culver Boldt - University of Iowa, Ophthalmology and Visual Sciences
Randy H Kardon - University of Iowa, Ophthalmology and Visual Sciences
Michael Wall - University of Iowa, Ophthalmology and Visual Sciences
Resource Type: Journal article
Publication Details: American journal of ophthalmology, Vol.141(3), pp.573-574
DOI: 10.1016/j.ajo.2005.09.030
PMID: 16490514
NLM abbreviation: Am J Ophthalmol
ISSN: 0002-9394
eISSN: 1879-1891
Publisher: United States
Language: English
Date published: 03/2006
Academic Unit: Neurology; Iowa Neuroscience Institute; Ophthalmology and Visual Sciences
Record Identifier: 9983980009902771

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21 Times Cited - Web of Science