Ruparelia Sunil, Sundaram Aishwarya, Dahrab Mishari, Symonds Chris, Cruess Alan
Department of Ophthalmology, Faculty of Medicine, Dalhousie University, Halifax, CAN.
Department of Ophthalmology, Izaak Walton Killam Health Center, Halifax, CAN.
Cureus. 2021 Dec 6;13(12):e20195. doi: 10.7759/cureus.20195. eCollection 2021 Dec.
Choroidal neovascularization (CNV) is a rare condition in children but poses a substantial threat to vision. Anti-vascular endothelial growth factor (anti-VEGF) therapy is commonly used in the pediatric population to treat retinopathy of prematurity. However, the use of anti-VEGF is less common for childhood CNV due to the rarity of CNV in the pediatric population. We report the case of a 10-year-old male presenting with an idiopathic choroidal neovascular membrane. Following a relapse of subretinal fluid after photodynamic therapy, anti-VEGF (bevacizumab) was injected and resulted in remission of the neovascular membrane and improved visual outcome. Further studies are required to elucidate the long-term outcomes associated with the use of anti-VEGF in pediatric patients.
脉络膜新生血管形成(CNV)在儿童中是一种罕见疾病,但对视力构成重大威胁。抗血管内皮生长因子(抗VEGF)疗法常用于儿科人群治疗早产儿视网膜病变。然而,由于儿童CNV在儿科人群中较为罕见,抗VEGF在儿童CNV中的应用较少。我们报告一例10岁男性特发性脉络膜新生血管膜病例。光动力治疗后视网膜下液复发,注射抗VEGF(贝伐单抗)后新生血管膜缓解,视力改善。需要进一步研究以阐明儿科患者使用抗VEGF的长期预后。