Open AccessDiabetic papillopathy with macular edema treated with intravitreal bevacizumab
Author(s) -
Ahmed Al-Hinai,
Mohammed S Al-Abri,
Rayah H Al-Hajri
Publication year - 2011
Publication title -
oman journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 16
eISSN - 0974-7842
pISSN - 0974-620X
DOI - 10.4103/0974-620x.91270
Subject(s) - medicine , ophthalmology , visual acuity , fundus (uterus) , macular edema , diabetic retinopathy , fluorescein angiography , fundus fluorescein angiography , optical coherence tomography , bevacizumab , optic disc , surgery , retinal , diabetes mellitus , chemotherapy , endocrinology
A 46-year-old diabetic male presented with acute painless visual loss in his left eye (OS). Visual acuity was 6/36 OS with an unremarkable anterior segment examination (OU). Posterior segment showed a swollen left optic disc with large diffuse macular edema and moderate nonproliferative diabetic retinopathy (NPDR). The right eye fundus showed only mild NPDR. Optical coherence tomography and fundus fluorescein angiography were performed which revealed left macular edema and a hyperfluorescent left optic disc. Computerized tomography scan orbit and brain was normal. The patient received an intravitreal bevacizumab injection OS followed by focal laser photocoagulation 1 month later. His optic disc swelling and the macular edema subsided rapidly after the injection and his visual acuity improved to 6/6 with disc pallor.