Bilateral choroidal neovascularization response to unilateral intravitreal Ranibizumab injection in a patient with angioid streaks

• Published in: Revista Brasileira de Oftalmologia Vol. 72; no. 4; pp. 274 - 277
• Main Authors: Otacílio de Oliveira Maia Júnior, Beatriz Sayuri Takahashi, Ricardo Luz Leitão Guerra, Walter Yukihiko Takahashi, Roberto Lorens Marback
• Format: Journal Article
• Language: English
• Published: Sociedade Brasileira de Oftalmologia 01-08-2013
• Subjects: Doenças retinianas; Estrias angióides; Inibidores da angiogênese; Retina
• ISSN: 1982-8551
• DOI: 10.1590/S0034-72802013000400014

Report of a 48 year-old male with bilateral decrease in vision due to choroidal neovascularization secondary to angioid streaks. Best corrected visual acuity was 20/80 in the right eye and counting fingers at 2 meters on the left eye. Patient underwent intravitreal injection of Ranibizumab (Lucentis) in the eye with worse visual acuity. Fifteen days after treatment patient reported better visual acuity on the fellow eye, which was measured to be 20/25. Treatment result was evaluated with visual acuity and optical coherence tomography. The effect of ranibizumab was observed in the treated eye, but the fellow eye had complete resolution of the choroidal neovascularization complex. This result may be a response to systemic absorption of the medication.