Floaters and reduced contrast sensitivity after successful pharmacologic vitreolysis with ocriplasmin
In: American Journal of Ophthalmology Case Reports American Journal of Ophthalmology Case Reports, Jg. 4 (2016), Heft C, S. 54-56
Online
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Zugriff:
Purpose To describe the onset of floaters and reduction in contrast sensitivity (CS) following successful pharmacologic vitreolysis with ocriplasmin for the treatment of vitreo-macular traction (VMT) in a patient with previously normal CS. Observations A 65-year-old woman with a past ocular history of normal visual acuity (VA = 20/26) and contrast sensitivity (1.81% Weber) presents with a 4-month history of distortions. VA decreased to 20/40 and Optical Coherence Tomography (OCT) demonstrated VMT. Pharmacologic vitreolysis was performed with intravitreal ocriplasmin. Ten weeks later the patient complained of floaters and was found to have a PVD and complete resolution of VMT. VA was still 20/40, but contrast sensitivity decreased by more than 100% to 3.77%Weber. After 6 months of attempted coping, this did not improve, so limited vitrectomy was performed. Post-operative VA = 20/26 and CS improved by 46% from 3.77%W to 2.03%W (normal). Conclusion and importance: This case highlights a little discussed consequence of PVD induction by successful pharmacologic vitreolysis – the development of clinically significant floaters. The resulting reduction of contrast sensitivity was normalized by limited vitrectomy, strongly suggesting that the detached vitreous was the cause.
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Floaters and reduced contrast sensitivity after successful pharmacologic vitreolysis with ocriplasmin
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Autor/in / Beteiligte Person: | Sebag, Jerry ; Nguyen-Cuu, Jeannie ; Khoshnevis, Matin |
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Zeitschrift: | American Journal of Ophthalmology Case Reports American Journal of Ophthalmology Case Reports, Jg. 4 (2016), Heft C, S. 54-56 |
Veröffentlichung: | Elsevier, 2016 |
Medientyp: | unknown |
ISSN: | 2451-9936 (print) |
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