Type 3 Neovascularization Associated with Retinitis Pigmentosa

Case Reports in Ophthalmology
Jihene SayadiSalomon Y Cohen

Abstract

To report a case of type 3 neovascular lesion in a patient with retinitis pigmentosa (RP) complicated by macular edema. A 78-year-old man with a long follow-up for RP was referred for painless visual acuity decrease in the right eye. Best-corrected visual acuity was 20/125 in the right eye and 20/40 in the left. Fundus examination showed typical RP and macular edema in both eyes. In the right eye, spectral domain optical coherence tomography revealed a marked cystic macular edema associated with disruption of the Bruch membrane/retinal pigment epithelium complex overlying a pigmentary epithelium detachment, with a vascular structure which appeared to originate from the deep capillary plexus and to be connected with the subretinal pigment epithelium space. Optical coherence tomography angiography showed a high-flow vessel infiltrating the outer retinal layers in the deep capillary plexus segmentation, and a tuft-shaped, bright, high-flow network that seemed to be connected with the subretinal pigment epithelium space in the outer retinal layer segmentation. This presentation was consistent with an early type 3 neovascular lesion in the right eye. Type 3 neovascularization may be considered a possible complication of RP.

References

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Citations

Aug 31, 2019·Case Reports in Ophthalmological Medicine·G AloeF Ricci
Feb 3, 2021·European Journal of Ophthalmology·Ilkay Kilic MuftuogluJay Chhablani
May 11, 2021·Critical Reviews in Food Science and Nutrition·Kristin KruegerMarietta Zille

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