Abstract
To report a rare case of unilateral foveal neovascularisation in an asymptomatic patient with 15-year history of insulin-dependent diabetes mellitus and bilateral proliferative diabetic retinopathy and diabetic macular edema. Fundus fluorescein angiography and optical coherence tomography scan confirmed the presence of foveal neovascularisation. There was complete regression of the foveal neovascularisation after pan retinal laser photocoagulation. We review the literature on foveal neovascularisation in diabetic retinopathy and propose a possible pathogenic mechanism for development of foveal neovascularisation in diabetic retinopathy and the reason for the response to pan retinal laser photocoagulation.
References
Finkelstein D, Patz A, Fine SL, Rice TA, Murphy RP (1981) Abortive foveal retinal neovascularization in diabetic retinopathy. Retina 1(1):62–66
Joondeph BC, Joondeph HC, Flood TP (1987) Foveal neovascularisation in diabetic retinopathy. Arch Ophthalmol 105:1672–1675
Kurz PA, Nguyan H, Cooney MJ (2003) Bilateral foveal neovascularization in a patient with insulin-dependent diabetes mellitus. Arch Ophthalmol 121(11):1656–1657. doi:10.1001/archopht.121.11.1656
Nagaoka T, Kitaya N, Sugawara R, Yokota H, Mori F, Hikichi T, Fujio N, Yoshida A (2004) Alteration of choroidal circulation in the foveal region in patients with type 2 diabetes. Br J Ophthalmol 88:1060–1063. doi:10.1136/bjo.2003.035345
Schocket LS, Brucker AJ, Niknam RM, Grunwald JE, DuPont J, Brucker AJ (2004) Foveolar choroidal hemodynamics in proliferative diabetic retinopathy. Int Ophthalmol 25(2):89–94. doi:10.1023/B:INTE.0000031744.93778.60
Takahashi A, Nagaoka T, Sato E, Yoshida A (2008) Effect of panretinal photocoagulation on choroidal circulation in the foveal region in patients with severe diabetic retinopathy. Br J Ophthalmol 92(10):1369–1373. doi:10.1136/bjo.2007.136028
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Rajagopal, J., Kamath, A.G., Kamath, G.G. et al. Foveal neovascularisation in diabetic retinopathy: case report and review of literature. Int Ophthalmol 30, 311–314 (2010). https://doi.org/10.1007/s10792-009-9317-8
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DOI: https://doi.org/10.1007/s10792-009-9317-8