Diagnostic and therapeutic challenges

摘要

In April 2010, a 35-year-old man was referred to our department with the diagnosis of choroidal neovascularization in his right eye (RE). The medical history was unremarkable except for nephrec-tomy 20 years before because of kidney atrophy. At presentation, the best-corrected visual acuity was 20/125 in RE, and 20/20 in the left eye (LE). Anterior and posterior segment slit-lamp biomicro-scopy of both eyes was unremarkable. Applanation tonometry readings were 15 mmHg in both eyes. The vitreous cavities were clear. Pundus examination of the RE showed retinal vascular abnormalities with a prominent lesion along the inferotemporal arcade determining intense macular exudation with retinal hemorrhages and hard exudates (Figure 1). Fundus examination of the LE was not noteworthy.