Another Proliferative Diabetic Retinopathy A Case Report of Retinal Cavernous Haemangioma Treated with Intravitreal Bevacizumab, Initially Labelled as Persistent Proliferative Diabetic Retinopathy英文文献资料.docVIP

Open Journal of Ophthalmology, 2012, 2, 5-7 5 /10.4236/ojoph.2012.21002 Published Online February 2012 (http://www.SciRP.org/journal/ojoph) Another Proliferative Diabetic Retinopathy? A Case Report of Retinal Cavernous Haemangioma Treated with Intravitreal Bevacizumab, Initially Labelled as Persistent Proliferative Diabetic Retinopathy Myrto Tsagkataki , Ahmad Khalil , Ahmed Kamal 1* 1 1 1 Ophthalmology Department, Aintree University Hospitals, Liverpool, United Kingdom. * Email: m.tsagkataki@ Received November 19 , 2011; revised December 24 , 2011; accepted January 25 , 2012. th th th ABSTRACT We present a case of Retinal Cavernous Haemangioma treated with Intravitreal Bevacizumab, which was initially la- belled as persistent proliferative diabetic retinopathy with multiple episodes of vitreous haemorrhage. These lesions can be confused with new retinal vessels in diabetics and if correctly diagnosed unnecessary photocoagulation can be avoided. Our patient received a course of three intravitreal Bevacizumab injections (1.25 mg/0.05 ml) in order to stop the leakage from the retinal cavernous haemangioma lesions and prevent another episode of vitreous haemorrhage. No intraoperative or postoperative complications were seen. Twenty-two months following treatment there was no recur- rence of vitreous haemorrhage. Keywords: Retinal Cavernous Haemangioma; Intravitreal Bevacizumab; Persistent Proliferative Diabetic Retinopathy; Vitreous Haemorrhage 1. Introduction early phase and late hyperfluorescence with typical fluid levels within the saccules (Figure 1(b)).Optical Coher- ence Tomography (OCT) showed a bunch of “grape-like”, nodular retinal lesions proliferating to the posterior hya- loid space (Figure 1(c))