Recurrence after surgical ablation for retinal angiomatous proliferation

Chieko Shiragami, Tomohiro Iida, Dai Nagayama, Tetsuya Baba, Fumio Shiraga

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

PURPOSE: To report the frequency of recurrence of retinal angiomatous proliferation (RAP) lesions after surgical ablation. METHODS: Seven eyes of seven consecutive patients with stage II RAP underwent surgical ablation of retinal feeder and draining vessels of RAP lesions. These eyes were examined with visual acuity testing, biomicroscopic slit-lamp fundus examination, fluorescein and indocyanine green angiographies, and optical coherence tomography before and after surgery. RESULTS: Between 2 months and 13 months after surgical ablation, all 7 eyes (100%) had lesion recurrence with exudative and/or hemorrhagic manifestations such as macular edema, serous detachment of the sensory retina, or pigment epithelial detachment. Retinal feeding and draining vessels were recanalized (six eyes) or newly developed (one eye) in communication with recurrent intraretinal neovascularization. CONCLUSIONS: After surgical ablation for stage II RAP, all seven eyes had recurrence of the RAP lesions. This treatment may be ineffective for RAP. Further study of this surgical technique is necessary before recommending it for the treatment of RAP.

Original languageEnglish
Pages (from-to)198-203
Number of pages6
JournalRetina
Volume27
Issue number2
DOIs
Publication statusPublished - Feb 1 2007
Externally publishedYes

Keywords

  • Age-related macular degeneration
  • Recurrence
  • Retinal angiomatous proliferation
  • Surgical ablation

ASJC Scopus subject areas

  • Ophthalmology

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  • Cite this

    Shiragami, C., Iida, T., Nagayama, D., Baba, T., & Shiraga, F. (2007). Recurrence after surgical ablation for retinal angiomatous proliferation. Retina, 27(2), 198-203. https://doi.org/10.1097/01.iae.0000224938.61915.f0