장액망막박리가 동반된 레버 특발성 성상 신경망막염에서 안내 베바시주맙 주사 효과 1예

Abstract

Purpose: To report the effectiveness of intravitreal bevacizumab treatment for serous retinal detachment associated with Leber’s idiopathic stellate neuroretinitis. Case summary: A 56-year-old male visited our clinic complaining of visual disturbance for three days in his right eye. His best corrected visual acuity was 0.5. Relative afferent pupillary defect and pain when moving eyes were noted in his right eye as well as inflammatory cells in the vitreous cavity. On funduscopic examination, disc swelling with hemorrhage and stellate-shaped hard exudates were noted at the perifovea. Ishihara color vision test showed anomalous trichromacy in his right eye. Hyperfluorescence around the disc was observed on fundus fluorescein angiography. Optical coherence tomography showed disc swelling with serous retinal detachment at the fovea. Inferior altitudinal scotoma was noted on visual field examination. The patient underwent intravitreal bevacizumab injection and topical steroid medication. After six days, the patient’s symptoms and disc swelling improved, and decreased subretinal fluid was observed. After six weeks, his best corrected visual acuity was 1.0. Nine weeks later, visual field examination showed nonspecific scotoma. Conclusions: Intravitreal bevacizumab injection is useful for treating serous retinal detachment associated with Leber’s idiopathic stellate neuroretinitis.