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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2298-2300

Periocular steroids for macular edema associated with retinal arteriovenous malformation: A case report


Department of Vitreo Retinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India

Correspondence Address:
Dr. Romana Fazal
Department of Vitreo Retina Services, Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam, Pondicherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_293_20

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Retinal racemose hemangiomas (RRH) are vascular malformations comprising of direct arteriovenous communications in the retina. Exudation and neurosensory detachment are some of the complications which may cause decreased visual acuity. Herein, we describe a case of a 38-year-old male presenting with unilateral Group II RRH complicated with macular edema. Initial treatment with intravitreal bevacizumab yielded a poor therapeutic response. Subsequently, he was treated with a posterior sub-tenon injection of triamcinolone acetonide following which there was a prompt decrease in edema with simultaneous improvement in vision. The visual acuity was maintained and no recurrence was seen even after 6 months of successful treatment.


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