Korean J Ophthalmol.  2015 Oct;29(5):357-358. 10.3341/kjo.2015.29.5.357.

Optic Disc Edema Responding to Localized Anti-vascular Endothelial Growth Factor Treatment in a Patient with POEMS Syndrome

Affiliations
  • 1Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. hgonyu@snu.ac.kr

Abstract

No abstract available.


MeSH Terms

Angiogenesis Inhibitors/administration & dosage
Bevacizumab/*administration & dosage
Follow-Up Studies
Humans
Intravitreal Injections
Male
Middle Aged
Optic Disk/*pathology
POEMS Syndrome/*complications/diagnosis
Papilledema/diagnosis/*drug therapy/etiology
Tomography, Optical Coherence
Vascular Endothelial Growth Factor A/*antagonists & inhibitors
Angiogenesis Inhibitors
Bevacizumab
Vascular Endothelial Growth Factor A

Figure

  • Fig. 1 (A-F) Initial evaluation with color photos (B,D) and optical coherence tomography (C,E) revealed optic disc edema (ODE) in the right eye (B,C) and in the left eye (D,E). Fluorescein angiography demonstrated prominent leakage in the right eye (A) and in the left eye (F). (G-L) Two months after completion of three monthly injections of intravitreal bevacizumab in the left eye, ODE and leakage were decreased in the left eye (J-L) and remained unchanged in the right eye (G-I). Eight months after completion of three monthly injections of intravitreal bevacizumab in the left eye, ODE and disc leakage were decreased in the right eye (M-O) and no definite ODE or leakage was observed in the left eye (P-R).


Reference

1. Van Stavern GP. Optic disc edema. Semin Neurol. 2007; 27:233–243.
2. Watanabe O, Arimura K, Kitajima I, et al. Greatly raised vascular endothelial growth factor (VEGF) in POEMS syndrome. Lancet. 1996; 347:702.
3. Kaushik M, Pulido JS, Abreu R, et al. Ocular findings in patients with polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes syndrome. Ophthalmology. 2011; 118:778–782.
4. Hudson N, Powner MB, Sarker MH, et al. Differential apicobasal VEGF signaling at vascular blood-neural barriers. Dev Cell. 2014; 30:541–552.
5. Cohen AI. Is there a potential defect in the blood-retinal barrier at the choroidal level of the optic nerve canal? Invest Ophthalmol. 1973; 12:513–519.
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