LATE CHOROIDAL NEOVASCULAR COMPLICATIONS IN A PATIENT TREATED FOR RETINOBLASTOMA. A CASE REPORT.

Q4 Medicine Ceska a Slovenska Oftalmologie Pub Date : 2022-01-01 DOI:10.31348/2022/32
V Popová, D Tomčíková, B Bušányová, K Hodálová, D Havalda, A Gerinec
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Abstract

Aim: Case report of choroidal neovascularization (CNV) detection in patient who was treated for bilateral retinoblastoma in early childhood.

Material and methods: Patient at 1.5 years of age treated for endophytic retinoblastoma stage 4 (according to the Reese-Ellsworth classification) bilaterally, with a positive mutation in the Rb1 gene. After undergoing bilateral retinal laser treatment and 6 cycles of systemic chemotherapy, the tumor remained inactive without other complications. At the age of 14, the boy developed visual impairment in his left eye with metamorphosis. Based on a local finding and other auxiliary examinations, he was diagnosed with CNV in the macular area at the interface of the tumor scar and the healthy retina of the left eye.

Results: After three applications of anti-VEGF (antibodies blocking vascular endothelial growth factor) substance intravitreally (bevacizumab 1.2 mg), there was a reduction in CNV and also an improvement in visual function.

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视网膜母细胞瘤患者晚期脉络膜新生血管并发症。一份病例报告。
目的:报告儿童早期双侧视网膜母细胞瘤患者脉络膜新生血管(CNV)检测的病例。材料和方法:患者年龄1.5岁,治疗内生视网膜母细胞瘤4期(根据Reese-Ellsworth分类),双侧,Rb1基因突变阳性。经双侧视网膜激光治疗和6个周期的全身化疗后,肿瘤无活性,无其他并发症。14岁时,男孩的左眼出现了视力障碍,并伴有变形。根据局部发现和其他辅助检查,他被诊断为肿瘤疤痕与左眼健康视网膜交界的黄斑区CNV。结果:三次体外应用抗vegf(抗体阻断血管内皮生长因子)物质(贝伐单抗1.2 mg)后,CNV降低,视觉功能改善。
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Ceska a Slovenska Oftalmologie
Ceska a Slovenska Oftalmologie Medicine-Ophthalmology
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