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Retinal arteriovenous malformation presenting with retinal vein occlusion during pregnancy.
Retin Cases Brief Rep. 2010 Spring; 4(2):112-5.RC

Abstract

PURPOSE

To report the clinical course and treatment outcomes of a patient with a previously undiagnosed retinal arteriovenous malformation who developed retinal vein occlusions and cystoid macular edema during pregnancy.

METHODS

Observational case report.

RESULTS

A 26-year-old pregnant woman at 26 weeks' gestation with no medical history presented with decreased vision. On examination, a retinal arteriovenous malformation associated with multiple vein occlusions and cystoid macular edema was found in the affected eye. No intracranial arteriovenous malformations were found on neuroimaging. The patient was not immediately treated and cystoid macular edema persisted on subsequent follow-up visits. After the patient stopped breastfeeding, she was treated with a single intravitreal injection of 1.25 mg bevacizumab, which resulted in resolution of cystoid macular edema and improvement in visual acuity from 6/200 to 20/200.

CONCLUSION

The clinical course of retinal arteriovenous malformations may be altered by pregnancy and treatment with intravitreal Avastin (bevacizumab) may be beneficial for cystoid macular edema secondary to retinal vein occlusions in this setting.

Authors+Show Affiliations

From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25390378

Citation

Wester, Sara T., and Timothy G. Murray. "Retinal Arteriovenous Malformation Presenting With Retinal Vein Occlusion During Pregnancy." Retinal Cases & Brief Reports, vol. 4, no. 2, 2010, pp. 112-5.
Wester ST, Murray TG. Retinal arteriovenous malformation presenting with retinal vein occlusion during pregnancy. Retin Cases Brief Rep. 2010;4(2):112-5.
Wester, S. T., & Murray, T. G. (2010). Retinal arteriovenous malformation presenting with retinal vein occlusion during pregnancy. Retinal Cases & Brief Reports, 4(2), 112-5. https://doi.org/10.1097/ICB.0b013e318196b36b
Wester ST, Murray TG. Retinal Arteriovenous Malformation Presenting With Retinal Vein Occlusion During Pregnancy. Retin Cases Brief Rep. 2010;4(2):112-5. PubMed PMID: 25390378.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retinal arteriovenous malformation presenting with retinal vein occlusion during pregnancy. AU - Wester,Sara T, AU - Murray,Timothy G, PY - 2014/11/13/entrez PY - 2010/4/1/pubmed PY - 2010/4/1/medline SP - 112 EP - 5 JF - Retinal cases & brief reports JO - Retin Cases Brief Rep VL - 4 IS - 2 N2 - PURPOSE: To report the clinical course and treatment outcomes of a patient with a previously undiagnosed retinal arteriovenous malformation who developed retinal vein occlusions and cystoid macular edema during pregnancy. METHODS: Observational case report. RESULTS: A 26-year-old pregnant woman at 26 weeks' gestation with no medical history presented with decreased vision. On examination, a retinal arteriovenous malformation associated with multiple vein occlusions and cystoid macular edema was found in the affected eye. No intracranial arteriovenous malformations were found on neuroimaging. The patient was not immediately treated and cystoid macular edema persisted on subsequent follow-up visits. After the patient stopped breastfeeding, she was treated with a single intravitreal injection of 1.25 mg bevacizumab, which resulted in resolution of cystoid macular edema and improvement in visual acuity from 6/200 to 20/200. CONCLUSION: The clinical course of retinal arteriovenous malformations may be altered by pregnancy and treatment with intravitreal Avastin (bevacizumab) may be beneficial for cystoid macular edema secondary to retinal vein occlusions in this setting. SN - 1935-1089 UR - https://www.unboundmedicine.com/medline/citation/25390378/Retinal_arteriovenous_malformation_presenting_with_retinal_vein_occlusion_during_pregnancy_ L2 - https://doi.org/10.1097/ICB.0b013e318196b36b DB - PRIME DP - Unbound Medicine ER -
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