Abstract
A 50-year-old Indian male presented with defective vision in the right eye for 6 months. He was diagnosed to have idiopathic macular telangiectasia (IMT) type 1 associated with diffuse macular edema and multiple retinal arterial macroaneurysms (RAM). Intravitreal bevacizumab was administered for the treatment of macular edema, following which there was a rupture of a preexisting RAM with multilevel retinal hemorrhages. The hemorrhage gradually resolved over time with foveal thinning noted at last visit. We report this case for the rare occurrence of IMT type 1 and also the possibly associated rupture of RAM post intravitreal bevacizumab injection.
Keywords:
Bevacizumab; Ruptured Retinal Arterial Macroaneurysms; Type 1 Idiopathic Macular Telangiectasia.
MeSH terms
-
Aneurysm, Ruptured / diagnosis
-
Aneurysm, Ruptured / etiology*
-
Angiogenesis Inhibitors / therapeutic use*
-
Antibodies, Monoclonal, Humanized / therapeutic use*
-
Bevacizumab
-
Blindness / etiology
-
Fluorescein Angiography
-
Humans
-
Intravitreal Injections
-
Macular Edema / drug therapy*
-
Macular Edema / etiology
-
Male
-
Middle Aged
-
Postoperative Complications*
-
Retinal Artery / pathology*
-
Retinal Hemorrhage / diagnosis
-
Retinal Hemorrhage / etiology
-
Retinal Telangiectasis / diagnosis
-
Retinal Telangiectasis / etiology*
-
Tomography, Optical Coherence
-
Vascular Endothelial Growth Factor A / antagonists & inhibitors
-
Visual Acuity / physiology
Substances
-
Angiogenesis Inhibitors
-
Antibodies, Monoclonal, Humanized
-
VEGFA protein, human
-
Vascular Endothelial Growth Factor A
-
Bevacizumab