Recurrent retinal angiomatous proliferation after surgical ablation

Am J Ophthalmol. 2005 May;139(5):917-8. doi: 10.1016/j.ajo.2004.10.046.

Abstract

Purpose: To report a case of retinal angiomatous proliferation (RAP) treated by ablation of the feeding and draining vessels that recurred by 6 months postoperatively.

Design: Interventional case report.

Methods: Images from fluorescein angiography, indocyanine green (ICG) angiography, and optical coherence tomography (OCT) were examined before and after ablation.

Results: The hot spot on late-phase ICG, the leakage on fluorescein angiography, the pigment epithelial detachment, and macular edema on OCT decreased postoperatively. However, a large hyperfluorescent lesion was detected on ICG 6 months postoperatively with recurrent cystoid macular edema.

Conclusions: A new RAP lesion can develop even after the original lesion seemed to resolve after ablation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Angiomatosis / diagnosis*
  • Angiomatosis / drug therapy
  • Angiomatosis / pathology
  • Angiomatosis / surgery
  • Coloring Agents
  • Female
  • Fluorescein Angiography
  • Glucocorticoids / therapeutic use
  • Humans
  • Indocyanine Green
  • Ophthalmologic Surgical Procedures
  • Recurrence
  • Retinal Neovascularization / diagnosis*
  • Retinal Neovascularization / drug therapy
  • Retinal Neovascularization / pathology
  • Retinal Neovascularization / surgery
  • Tomography, Optical Coherence
  • Triamcinolone Acetonide / therapeutic use

Substances

  • Coloring Agents
  • Glucocorticoids
  • Triamcinolone Acetonide
  • Indocyanine Green