Author/Authors :
Shoughy, Samir S. The Eye Center and The Eye Foundation for Research in Ophthalmology, Saudi Arabia , Jaroudi, Mahmoud O. The Eye Center and The Eye Foundation for Research in Ophthalmology, Saudi Arabia , Tabbara, Khalid F. The Eye Center and The Eye Foundation for Research in Ophthalmology, Saudi Arabia , Tabbara, Khalid F. King Saud University - College of Medicine - Department of Ophthalmology, Saudi Arabia , Tabbara, Khalid F. Johns Hopkins University - School of Medicine, Wilmer Ophthalmological Institute, USA
Abstract :
Choroidal neovascular membrane (CNV) may occur in patients with posterior uveitis. Treatment of patients with corticosteroids induces regression of the inflammation in the posterior pole with downregulation of many cytokines including vascular endothelial growth factors. We report herewith, a case of biopsy proven sarcoidosis that developed posterior uveitis and peripapillary CNV membrane and subretinal hemorrhage with fluid. The patient was treated with systemic steroids. She demonstrated progressive regression of the CNV membrane and complete resolution of the subretinal hemorrhage and fluids. In conclusion, control of the posterior segment inflammation is crucial in the resolution of the CNV membrane in uveitis and the intravitreal anti-vascular endothelial growth factor may not be always indicated.
