September 05, 2003
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Study: Improvement not common following peripapillary CNV surgery

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Surgical removal of peripapillary choroidal neovascularization can stabilize or improve visual acuity in elderly patients, but such results are not frequent, a retrospective study found.

Harshivinderjit S. Bains, MD, PhD and colleagues at the Medical College of Georgia reviewed the records of 17 eyes of 17 patients that underwent pars plana vitrectomy to remove extensive peripapillary CNV.

Patients had a mean age of 76.9 years and were ineligible for laser treatment. The peripapillary CNV was extrafoveal in six eyes, juxtafoveal in two eyes and subfoveal in nine eyes.

Final visual acuity stabilized or improved in six of the 17 eyes and worsened in the remaining 11. CNV recurred in four eyes and required re-excision, laser photocoagulation or both.

There were two cases of retinal detachment, one case of a retinal hole and epiretinal membrane, two cases of cystoid macular edema and four subsequent cataract extractions.

The study is published in Retina.