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INTRAVENOUS IMMUNOGLOBULIN IN THE TREATMENT OF JUVENILE RETINITIS PIGMENTOSA-ASSOCIATED CYSTOID MACULAR EDEMA AND UVEITIS.

Authors :
Ediriwickrema LS
Chhadva P
Rodger DC
Ameri H
Rao NA
Source :
Retinal cases & brief reports [Retin Cases Brief Rep] 2018 Summer; Vol. 12 (3), pp. 242-246.
Publication Year :
2018

Abstract

Purpose: To evaluate the efficacy of intravenous immunoglobulin in the treatment of cystoid macular edema and uveitis caused by juvenile retinitis pigmentosa in a woman interested in planning a pregnancy.<br />Methods: Descriptive case report. A 25-year-old woman with retinitis pigmentosa presented with decreased visual acuity, interested in a second opinion.<br />Results: Intravenous immunoglobulin therapy was begun at 2-week intervals. Visual acuity improved from 20/100 to 20/70 by 6 weeks, where it stabilized for the remaining year. Serial optical coherence tomography imaging revealed marked improvement in cystoid macular edema after 2 treatments of intravenous immunoglobulin at 2 weeks of follow-up, with complete resolution noted at 4 months, a finding that persisted at 1 year of follow-up.<br />Conclusion: Our findings support the use of intravenous immunoglobulin as a therapeutic option for the resolution of cystoid macular edema and management of uveitis secondary to juvenile retinitis pigmentosa.

Details

Language :
English
ISSN :
1937-1578
Volume :
12
Issue :
3
Database :
MEDLINE
Journal :
Retinal cases & brief reports
Publication Type :
Academic Journal
Accession number :
27828903
Full Text :
https://doi.org/10.1097/ICB.0000000000000478