April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Laser photocoagulation of peripapillary choroidal neovascular membranes (CNVM)
Author Affiliations & Notes
  • Suruchi Bhardwaj
    Ophthalmology, Temple University School of Medicine, Phildelphia, PA
    Ophthalmology, Geisinger Medical Center, Danville, PA
  • Tamara R Vrabec
    Ophthalmology, Geisinger Medical Center, Danville, PA
  • Footnotes
    Commercial Relationships Suruchi Bhardwaj, None; Tamara Vrabec, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 6365. doi:
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    • Get Citation

      Suruchi Bhardwaj, Tamara R Vrabec; Laser photocoagulation of peripapillary choroidal neovascular membranes (CNVM). Invest. Ophthalmol. Vis. Sci. 2014;55(13):6365.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

The standard of care for subfoveal choroidal neovascularization (CNVM) has evolved from laser photocoagulation to intravitreal anti-VEGF injection. No studies have compared these treatments in peripapillary CNVM, an uncommon extrafoveal variant. These lesions may be more sensitive to laser; favorable results have been reported with only partial ablation of CNVM. We describe our experience with seven eyes managed with laser.

 
Methods
 

Retrospective case series. Review of seven patient charts with diagnosed peripapillary neovascular membranes in exudative age related macular degeneration.

 
Results
 

4 men and 3 women aged 81-89 years followed 4-46 months (mean 18 months) after laser experienced improved final visual acuity (85%), (range 20/30 - CF, mode 20/30) with 1-3 laser treatments.

 
Conclusions
 

Laser photocoagulation may be considererd as an alternative to chronic anti-VEGF injection in the management of peripapillary CNVM. Further study is warranted.

  
 
Fluorescein Angiography
 
Fluorescein Angiography
 
Keywords: 412 age-related macular degeneration • 453 choroid: neovascularization • 578 laser  
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