Intravitreal Ranibizumab for the Treatment of Choroidal Neovascularization in Bests Vitelliform Macular Dystrophy

Abstract

To evaluate the results of intravitreal ranibizumab injection in a case with choroidal neovascularization (CNV) in Bests vitelliform macular dystrophy with different imaging modalities. A 20-year-old male with the complaint of reduced vision in the right eye underwent complete ophthalmological examination including fluorescein angiography (FA), fundus autofluorescence (FAF) imaging. Macular scans were obtained with spectral optical coherence tomography (OCT). Best corrected visual acuity was counting fingers at 2 meters in the right eye. Fluorescein angiography and OCT confirmed the diagnosis of CNV associated with Bests vitelliform macular dystrophy. After 3 monthly injections of intravitreal ranibizumab, CNV regressed and macular edema disappeared. Visual acuity improved to 10/10. His condition remained stable for 3 years after treatment. We concluded that the intravitreal ranibizumab may be a new approach for the therapy of CNV in Bests vitelliform macular dystrophy. However, a long-term follow-up is warranted. Different imaging modalities help us to understand the different aspects of macular involvement in this disease complicated with CNV.




J Med Cases. 2012;3(4):250-253
doi: https://doi.org/10.4021/jmc619w