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Recurrent Retinal Angiomatous Proliferation After Surgical Ablation

2005; Elsevier BV; Volume: 139; Issue: 5 Linguagem: Inglês

10.1016/j.ajo.2004.10.046

1879-1891

Susumu Sakimoto, Fumi Gomi, Hirokazu Sakaguchi, Yasuo Tano,

Ocular Oncology and Treatments

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. To report a case of retinal angiomatous proliferation (RAP) treated by ablation of the feeding and draining vessels that recurred by 6 months postoperatively. Interventional case report. Images from fluorescein angiography, indocyanine green (ICG) angiography, and optical coherence tomography (OCT) were examined before and after ablation. 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. A new RAP lesion can develop even after the original lesion seemed to resolve after ablation.