A case of iatrogenic CNV following macular surgery

Q3 Medicine American Journal of Ophthalmology Case Reports Pub Date : 2025-03-01 Epub Date: 2025-01-30 DOI:10.1016/j.ajoc.2025.102263
Akshay Prashant Agnihotri , Ines D. Nagel , Anna Heinke , Zachary A. Koretz , William R. Freeman
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Abstract

Purpose

To report a case of iatrogenic trauma related choroidal neovascularization (CNV)

Methods

A 66 year old female presented with complaints of distortion of vision in the right eye. A diagnosis of epiretinal membrane (ERM) foveoschisis was made and the patient was recommended surgery. During surgery an inadvertent touch of the retina occurred. Post operatively, an iatrogenic choroidal neovascular membrane was diagnosed.

Results

Post-operative optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) revealed a CNV which was treated with intravitreal Bevacizumab. The visual acuity improved remarkably. The intraretinal and subretinal fluid resolved and the macula was almost completely dry at final visit.

Conclusion

ERM surgery is one of the common procedures in vitreoretinal surgery. Iatrogenic CNV is a reported but rare complication following inadvertent trauma during surgery. We report a successful outcome of iatrogenic CNV treated with intravitreal injections of Bevacizumab.
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黄斑手术后医源性CNV 1例
目的报告一例医源性创伤相关脉络膜新生血管(CNV)病例。方法一名66岁女性,以右眼视力扭曲为主诉。诊断为视网膜前膜(ERM)凹裂,建议手术治疗。在手术过程中,不慎触碰到了视网膜。术后诊断为医源性脉络膜新生血管膜。结果术后光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCTA)显示了玻璃体内贝伐单抗治疗的CNV。视力明显改善。视网膜内和视网膜下的液体溶解,黄斑在最后一次就诊时几乎完全干燥。结论erm手术是玻璃体视网膜手术的常用方法之一。医源性CNV是手术中意外创伤后罕见的并发症。我们报告了用玻璃体内注射贝伐单抗治疗医源性CNV的成功结果。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
513
审稿时长
16 weeks
期刊介绍: The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.
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