Turkish Abstract Abstract Article PDF Similar Articles Mail to Author

¹M.D, Ulucanlar Eye Training and Research Hospital, Ankara/TURKEY
²M.D Asistant, Ulucanlar Eye Training and Research Hospital, Ankara/TURKEY
³M.D., Ankara Training and Research Hospital, Neurology Clinic, Ankara/TURKEY
⁴M.D, Professor, Ulucanlar Eye Training and Research Hospital, Ankara/TURKEY
⁵M.D Professor, Ataturk Training and Research Hospital, Eye Clinic, Ankara/TURKEY Thirty-six-year-old obese female patient was admitted to the neurology clinic with the complaint of headache and acute visual loss in the left eye(LE). Patient with a complaint of progressively increasing headache and normal radiological imaging was consulted to neuro ophthalmology department. The visual acuity with Snellen chart was 0.9 in the right eye (RE) and counting fingers at 30 cm in the LE . Color vision with Ishihara testing was plate only in the LE. Relative afferent pupillary defect was positive on the left side. Dilated fundus examination revealed that margins of the optic disc was blurry in the right side . On the LE, besides severe optic disc edema, it was also observed serous retinal detachment in the macular region. There was a large choroidal neovascular membrane extending from peripapillary area to the macula in the fluorescein angiography (FA) and optical coherence tomography (OCT). During lumbar tap cerebrospinal fluid (CSF) pressure was measured 280 mm H2O (80-200 mm H2O) and cytological and biochemical analysis of the fluid was completely normal. She was diagnosed idiopathic intracranial hypertension (IIH) and started on oral acetazolamide four times a day and topiramate twice daily. Afterthen, intravitreal bevacizumab injection (0.1 ml/1.25 mg) was performed and repeated one month later. Five months after the second intravitreal enjection of bevacizumab, visual acuity according to the Snellen chart was 1.0 in the RE , 0.8 in the LE, the optic disc swelling regressed to minimum in both eyes. Also, intraretinal and subretinal fluid decreased in the left side on the OCT sections. Keywords : Bevacizumab, choroidal neovascular membrane, idiopathic intracranial hypertension, optical coherence tomography