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S. Kiss, J.F. Rizzo, III, S. Mukai; Peripapillary Choroidal Neovascularization in Children . Invest. Ophthalmol. Vis. Sci. 2005;46(13):4084.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: Peripapillary choroidal neovascularization (CNV) is a rare disorder in children. We reviewed the cases of pediatric peripaillary CNV to characterize the presentation, diagnosis, predisposing conditions, and treatment. Methods: Retrospective review of 14 years for children with peripapillary CNV. Fluorescein angiography was carried out either by standard intravenous method with modification in dose depending on the size of the child or by oral administration of fluorescein with digital enhancement. Laser photocoagulation was performed using the argon laser via a slit lamp delivery system in cooperative children or via an indirect ophthalmoscope delivery system under anesthesia. Results: We identified seven eyes in six children with peripapillary CNV. Five children had unilateral disease; only one child had bilateral involvement. They presented with decreased vision from blood, subretinal fluid, or scarring extending into the fovea. The only asymptomatic affected eye was in the second eye of the bilateral case. Diagnosis was made by clinical examination and fluorescein angiography. The macula was evaluated in some cases using OCT. Predisposing conditions were as follows: optic nerve drusen (1 eye), papilledema (1 eye), and idiopathic (5 eyes). Laser photocoagulation stablized or improved vision. Conclusions: Peripapillary CNV is a rare disorder in children that can be managed with standard or modified fluorescein angiography and laser photocoagulation.
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