Abstract
Background
To describe the effect of intravitreal bevacizumab for the treatment of choroidal neovascularisation secondary to vitelliform dystrophy of the macula (Best’s disease).
Methods
A 13-year-old boy with confirmed Best’s disease presented with visual acuity (VA) loss due to secondary choroidal neovascularisation (CNV). He was treated with a single injection of 1-mg bevacizumab.
Results
Best corrected VA (Snellen) fully recovered from 20/40 preoperatively to 20/20 over a period of 6 months. Optical coherence tomography (OCT) and angiography demonstrated regression of the CNV and resolution of the macular edema.
Conclusions
A single intravitreal injection of bevacizumab may be effective to induce morphologic and functional improvement in a juvenile suffering from CNV secondary to Best’s disease.
Similar content being viewed by others
References
Deutman AF, Hoyng CB, van Lith-Verhoeven (2006) Macular dystrophies / vitelliform dystrophy. In: Ryan SJ, Schachat AP (eds) Retina 4th edition. Volume II - Medical Retina. Elsevier Mosby,pp 1177–1181
Andrade RE, Farah ME, Costa RA (2003) Photodynamic therapy with verteporfin for subfoveal choroidal neovascularization in best disease. Am J Ophthalmol 136:1179–1181
Andrade RE, Farah ME, Cardillo JA, Hofling-Lima AL, Uno F, Costa RA (2002) Optical coherence tomography in choroidal neovascular membrane associated with Best’s vitelliform dystrophy. Acta Ophthalmol Scand 80:216–218
Hori K, Ishida S, Inoue M, Shinoda K, Kawashima S, Kitamura S, Oguchi Y (2004) Treatment of cystoid macular edema with oral acetazolamide in a patient with best vitelliform macular dystrophy. Retina 24:481–482
Kaiser PK (2006) Antivascular endothelial growth factor agents and their development: therapeutic implications in ocular diseases. Am J Ophthalmol 2006 142:660–668
Author information
Authors and Affiliations
Corresponding author
Additional information
Proprietary interest: none for all authors
Rights and permissions
About this article
Cite this article
Leu, J., Schrage, N.F. & Degenring, R.F. Choroidal neovascularisation secondary to Best’s disease in a 13-year-old boy treated by intravitreal bevacizumab. Graefes Arch Clin Exp Ophthalmol 245, 1723–1725 (2007). https://doi.org/10.1007/s00417-007-0604-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-007-0604-7