Abstract
Purpose: To describe photodynamic therapy (PDT) and additional indocyanine green (ICG) guided feeder vessel photocoagulation as a treatment of choroidal neovascularization (CNV) secondary to choroidal rupture in case of blunt head trauma. Design: Interventional case report. Methods: A 61-year-old woman developed subfoveal CNV originating from a choroid tear 8 years after blunt head trauma. Four sessions of PDT were applied and an additional two consecutive sessions of selective ICG-guided feeder vessel photocoagulation conducted. Results: Transient reduction of leakage and closure of feeder vessels could not prevent further growth of the CNV. Conclusions: PDT reduced leakage temporarily and additional ICG-guided feeder vessel photocoagulation closed treated feeder vessel and CNV. New feeder vessel formation and growth of CNV in case of traumatic choroid rupture could not be treated effectively by these two laser treatment modalities to prevent severe deterioration of visual acuity.
This is a preview of subscription content, log in via an institution to check access.
References
Aguilar JP, Green RG (1984) Choroidal rupture. A histopathologic study of 47 cases. Retina 4:269–275
Blinder KJ, Bradley S, Bressler NM, Bressler SB, Donati G, Hao Y, Ma C, Menchini U, Miller J, Potter MJ, Pournaras C, Reaves A, Rosenfeld PJ, Strong HA, Stur M, Su XY, Virgili G, Treatment of Age-related Macular Degeneration with Photodynamic Therapy Study Group, Verteporfin in Photodynamic Therapy Study Group (2003) Effect of lesion size, visual acuity, and lesion composition on visual acuity change with and without verteporfin therapy for choroidal neovascularization secondary to age-related macular degeneration: TAP and VIP report no. 1. Am J Ophthalmol 136:407–418
Flower RW, von Kerczek C, Zhu L, Ernest A, Eggleton C, Topoleski LD (2001) Theoretical investigation of the role of choriocapillaris blood flow in treatment of subfoveal choroidal neovascularization associated with age-related macular degeneration. Am J Ophthalmol 132:85–93
Mennel S, Schmidt JC, Meyer CH (2003) Therapeutic strategies in choroidal neovascularizations secondary to angioid streaks. Am J Ophthalmol 136:580–582
Piermarocchi S, Lo Giudice G, Sartore M et al (2002) Photodynamic therapy increases the eligibility for feeder vessel treatment of choroidal neovascularization caused by age-related macular degeneration. Am J Ophthalmol 133:572–575
Secretan M, Sickenberg M, Zografos L, Piguet B (1998) Morphometric characteristics of traumatic choroidal ruptures associated with neovascularization. Retina 18:62–66
Staurenghi G, Orzalesi N, La Capria A, Aschero M (1998) Laser treatment of feeder vessels in subfoveal choroidal neovascular membranes: a revisitation using dynamic indocyanine green angiography. Ophthalmology 105:2297–2305
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mennel, S., Hausmann, N., Meyer, C.H. et al. Photodynamic therapy and indocyanine green guided feeder vessel photocoagulation of choroidal neovascularization secondary to choroid rupture after blunt trauma. Graefe's Arch Clin Exp Ophthalmol 243, 68–71 (2005). https://doi.org/10.1007/s00417-004-0964-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-004-0964-1