PMID- 34136721 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 2451-9936 (Electronic) IS - 2451-9936 (Linking) VI - 23 DP - 2021 Sep TI - Polypoidal choroidal vasculopathy in a case of retinitis pigmentosa, successfully treated with intravitreal aflibercept. PG - 101123 LID - 10.1016/j.ajoc.2021.101123 [doi] LID - 101123 AB - PURPOSE: Polypoidal choroidal vasculopathy (PCV) is a subtype of age-related macular degeneration that is seen frequently in Asians. Nevertheless, it is rare for this condition to be combined with retinitis pigmentosa (RP). The purpose of this paper is to present findings from this rare combination in a Japanese patient, and to describe its successful treatment with intravitreal aflibercept (IVA). OBSERVATIONS: The patient was a 71-year-old Japanese woman with RP (diagnosed at the age of 30) and PCV. She noticed a decrease in vision in her right eye 6 months previously. Decimal best-corrected visual acuity (BCVA) was 0.05 in her right eye. Optical coherence tomography and indocyanine green angiography (IA) revealed serous retinal detachment (SRD) and PCV in her right eye. The SRD was initially resolved after 3 monthly treatments with IVA, but recurrences began 5 months later, requiring four more treatments with IVA, performed about every 4 months within the next 12 months, for successful resolution. There were no recurrences of PCV in 7 more months of follow-up, as confirmed with IA at the final appointment. Final decimal BCVA in the right eye improved to 0.15. Furthermore, macular retinal sensitivity, measured with microperimetry, increased after the treatment, and RP-related visual field narrowing, determined by Goldmann perimetry, did not progress throughout follow up of 26 months. CONCLUSION: More than 2 years of follow up showed that IVA may be effective for treating PCV, even in RP patients, and can increase central visual function without causing progression of RP-related visual field narrowing. CI - (c) 2021 Published by Elsevier Inc. FAU - Takahashi, Nana AU - Takahashi N AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Japan. FAU - Kunikata, Hiroshi AU - Kunikata H AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Japan. AD - Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Japan. FAU - Yasuda, Masayuki AU - Yasuda M AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Japan. FAU - Hariya, Takehiro AU - Hariya T AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Japan. FAU - Nishiguchi, Koji M AU - Nishiguchi KM AD - Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Japan. FAU - Nakazawa, Toru AU - Nakazawa T AD - Department of Ophthalmology, Tohoku University Graduate School of Medicine, Japan. AD - Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Japan. AD - Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Japan. AD - Department of Ophthalmic Imaging and Information Analytics, Tohoku University Graduate School of Medicine, Japan. LA - eng PT - Case Reports DEP - 20210524 PL - United States TA - Am J Ophthalmol Case Rep JT - American journal of ophthalmology case reports JID - 101679941 PMC - PMC8181791 OTO - NOTNLM OT - LSFG OT - Laser speckle flowgraphy OT - MP-3 OT - Microperimetry OT - Vascular endothelial growth factor COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/06/18 06:00 MHDA- 2021/06/18 06:01 PMCR- 2021/05/24 CRDT- 2021/06/17 06:51 PHST- 2020/06/10 00:00 [received] PHST- 2021/01/16 00:00 [revised] PHST- 2021/05/10 00:00 [accepted] PHST- 2021/06/17 06:51 [entrez] PHST- 2021/06/18 06:00 [pubmed] PHST- 2021/06/18 06:01 [medline] PHST- 2021/05/24 00:00 [pmc-release] AID - S2451-9936(21)00132-8 [pii] AID - 101123 [pii] AID - 10.1016/j.ajoc.2021.101123 [doi] PST - epublish SO - Am J Ophthalmol Case Rep. 2021 May 24;23:101123. doi: 10.1016/j.ajoc.2021.101123. eCollection 2021 Sep.