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The use of intravitreal ranibizumab to treat neovascular glaucoma because of retinal amyloid angiopathy in familial amyloidosis transthyretin V30M related

dc.contributor.authorBeirão, N.M.
dc.contributor.authorMiranda, V.
dc.contributor.authorBeirão, I.
dc.contributor.authorCosta, P.P.
dc.contributor.authorTorres, P.
dc.date.accessioned2014-03-31T16:00:56Z
dc.date.available2014-03-31T16:00:56Z
dc.date.issued2013
dc.description.abstractPurpose: The purpose of this study to report a patient with amyloidotic angiopathy and neovascular glaucoma who was treated with intravitreal injection of ranibizumab followed by laser photocoagulation. Methods: A 52-year-old liver-transplanted woman with familial amyloidotic polyneuropathy presented with unilateral rubeosis iridis and neovascular glaucoma. A complete ocular examination and fluorescein and indocyanine green angiography were performed. Results: Best-corrected visual acuity before injection was 0.05 (Snellen) in the left eye, and intraocular pressure was 42 mmHg. Fluorescein angiography showed vascular occlusion in the retinal periphery, focal staining of vessels, and microaneurysms. Indocyanine green angiography showed hyperfluorescent spots alongside the choroidal veins. Two days after receiving intravitreal injection of ranibizumab, the clinical picture regressed. The diagnosis of retinal amyloid angiopathy was made, and a peripheral retinal laser photocoagulation was done. The final best-corrected visual acuity after 2 years of follow-up was 0.4 (Snellen) in the left eye. Conclusion: Intravitreal injections of ranibizumab should be evaluated for a potential role on the treatment of amyloid angiopathy neovascular glaucoma. Careful retinal periphery examination should be included in the ophthalmologic examination of all familial amyloidotic polyneuropathy patients.por
dc.identifier.citationRetinal Cases & Brief Reports. 2013;7(1):114-116por
dc.identifier.issn1935-1089
dc.identifier.otherdoi.org/10.1097/ICB.0b013e3182681259
dc.identifier.urihttp://hdl.handle.net/10400.18/2204
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherLippincott, Williams & Wilkinspor
dc.relation.publisherversionhttp://journals.lww.com/retinalcases/pages/articleviewer.aspx?year=2013&issue=00710&article=00032&type=abstractpor
dc.subjectPolineuropatia Amiloidótica Familiarpor
dc.subjectATTR V30Mpor
dc.subjectGlaucomapor
dc.subjectRetinal Amyloid Angiopathypor
dc.subjectOcular Diseasepor
dc.subjectRanibizumabpor
dc.subjectCase Reportpor
dc.subjectDoenças Genéticaspor
dc.titleThe use of intravitreal ranibizumab to treat neovascular glaucoma because of retinal amyloid angiopathy in familial amyloidosis transthyretin V30M relatedpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage116por
oaire.citation.startPage114por
oaire.citation.titleRetinal Cases and Brief Reportspor
oaire.citation.volume7(1)por
rcaap.rightsembargoedAccesspor
rcaap.typearticlepor

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