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| LETTER TO THE EDITOR |
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| Year : 2013 | Volume
: 61
| Issue : 2 | Page : 86 |
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Intravitreal ranibizumab for the treatment of choroidal neovascularization secondary to ocular toxoplasmosis
Neeraj Pandey, Vandana Dwivedi
Department of Vitreo-Retina and Uvea, Aravind Eye Hospital, Hyderabad, India
| Date of Web Publication | 15-Feb-2013 |
Correspondence Address:
Neeraj Pandey
Department of Vitreo-Retina and Uvea, Aravind Eye Hospital Pvt. Ltd. 12-2-824, Santosh Nagar Colony, Mehdipatnam, Hyderabad - 500 028
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0301-4738.107211
How to cite this article:
Pandey N, Dwivedi V. Intravitreal ranibizumab for the treatment of choroidal neovascularization secondary to ocular toxoplasmosis. Indian J Ophthalmol 2013;61:86 |
Dear Editor,
We read the article by Shah et al. [1] with great interest. At first, we would like to congratulate the authors for a very nice case reported here. We have a few comments to make on this case report.
- Inflammatory choroidal neovascular membrane (CNVM) is not so uncommon to be seen as reported in the case and it may be associated with toxoplasmosis, tuberculosis, etc. [2],[3]
- Subretinal fluid (SRF) mentioned in [Figure 1] (color picture) is not very well supported by [Figure 2] where optical coherence tomography (OCT) does not show any SRF. Instead, it does show scarring.
- Blocked fluorescence seen in [Figure 2] may be due to the pigmentation around the lesion which may be a sign of longstanding lesion with retinal pigment epithelium (RPE) alteration.
- Hyperfluorescence seen in [Figure 2] may be staining of scar as it is a late phase angiogram picture. No early phase picture is shown in the support of early leak of CNVM.
- [Figure 3] is shown in the article as no leak with regressed CNVM, which is an early phase picture and it may take stain in late phase as in [Figure 2] if it was only scar. It is well supported by the OCT showing shadowing of the reflectivity behind the scar.
- Both the OCTs shown in [Figure 2] and [Figure 3] are probably not passing through the same place, so we cannot compare the reflectivity and shadowing of these two pictures.
| References | |  |
| 1. | Shah NJ, Shah UN. Intravitreal ranibizumab for the treatment of choroidal neovascularization secondary to ocular toxoplasmosis. Indian J Ophthalmol 2011;59:318-9.  [ PUBMED]  |
| 2. | Adan A, Mateo C, Wolley-Dod C. Surgery for subfoveal choroidal neovascularization in toxoplasmic retinochoroiditis. Am J Ophthalmol 2003;135:386-7. |
| 3. | Chung YM, Yeh TS, Sheu SJ, Liu JH. Macular subretinal neovascularization in choroidal tuberculosis. Ann Ophthalmol 1989;21:225-9. [ PUBMED] |
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